慢性病及手術後患者容易產生疲憊(Fatigue)的現象。若長期處於疲憊的狀態下，其健康狀況以及對自我的看法都會產生負面的影響，這將會阻礙病患的復健和適應。因此，疲憊是護理人員應加以確立及處理的健康問題。本個案是一位罹患多重慢性病的患者，於冠狀動脈繞道手術後住院期間面臨疲憊的困擾。因此，筆者探討此護理問題的評估方向及護理措施。此次護理經驗中，有效減輕疲憊的護理措施包括：(1)加強病人對疲憊感的認知和自我察覺的能力(2)執行漸進性心臟復健運動(3)教導保存能量(Conservation of Energy)的技巧(4)適當的營養(5)運用社會支持以協助個人因應壓力。藉由此次臨床照護經驗的分享，期望能提供護理人員在處理此護理問題時之參考。

Fatigue is the most frequently reported symptom in patients with chronic illnesses and affter surgery. Long-term fatigue has impacts on health status and self perception, which then interfere with the rehabilitation and adjustment of patients. Consequently, the identifcation and management of fatigue as a health problem is an important nursing task. Here, in a patient with multiple chronic diseases after a coronary artery bypass graft (CABG) is described. During hospitalization, the patiant suffered from discomfort resulting from fatigue. Using nursing process, specific nursing interventions were implemented as follows: (1) assisting the patient to identify personal patterns of fatigue; (2) gradual cardiac rehabilitation exercises; (3) teaching techniques of energy conservation; (4) providing appropriate nutrition; (5) utilizing social supports to help the patient cope with stress. This case report highlights the clinical implications of fatigue in the nursing.