篇名 | 一位罹患膽結石術後併發膽道阻塞病患之護理經驗 |
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卷期 | 16 |
並列篇名 | Nursing Experience of a Biliary Tract Obstruction Patient after Gallstone Surgery |
作者 | 孫宜欣 、 蔡麗紅 、 蘭素珍 |
頁次 | 61-70 |
關鍵字 | 膽結石 、 膽道阻塞 、 焦慮 、 體溫過高 、 知識需求 、 疼痛 、 gallbladder stone 、 biliary tract obstruction 、 anxiety 、 hyperthermia 、 needs of knowledge 、 pain |
出刊日期 | 201206 |
本文旨在描述一位位患膽結石術後併發膽道阻塞病患之護理經驗。護理個案期間自2008年4月20日至2008年5月10日。筆者在實際照護過程中,藉由身體評估及會談等方式收集資料,並依據Gordon十一項功能性健康型態為評估架構,確立個案有:[體溫過高」、「急性疼痛」、「焦慮」和「對引流管居家照護知識需求」之健康問題。於護理過程中,筆者藉由良好的護病關僻、、陪伴及傾聽、並協助解決所擔憂事件,以減輕焦慮,提供緩解疼痛之技巧並提供體溫過高的相關護理處置,及衛教返家後引流管照護注意事項,提供個方IJ性的護理指導;盼藉此護理經驗能提供護理人員作為日後照顧類似病人之參考。
This case study describes the nursing experience of caring for a patient with biliary tract obstruction after the surgical procedure of removing gallbladder stones. From April 20 to May 10, 2008, the author utilized nursing-care physical assessments and interviews for data collection. Based on Gorden’s 11-item functional health assessment, the patient’s health problems were identified as the following: hyperthermia, acute pain, anxiety, and needs of knowledge regarding home care of the drainage tube. The author established a successful nurse-patient relationship and applied the skills of accompanying and listening to the patient with the nursing process to help the patient resolve her worries. The nursing interventions employed included lessening anxiety, alleviating pain, and reducing body temperature. Educational content for drainage-tube-related home care was also provided. The individual nursing experience in this article can serve as a reference for others who are caring for gallbladder-stone patients.