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新臺北護理期刊

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篇名 運用Watson關懷理論照顧一位妊娠28週婦女髕骨骨折之護理經驗
卷期 16:2
並列篇名 A Nursing Experience of Applying Watson’s Caring Theory to a 28-Week Pregnant Woman with Patella Fractures
作者 尤依苓雷琇惠
頁次 087-096
關鍵字 Watson 關懷理論妊娠髕骨骨折Watson’s caring theoryPregnancyPatella fractures
出刊日期 201409

中文摘要

懷孕時發生骨折,對孕婦會造成衝擊,不僅要了解生理所造成的問題,心理的壓力更是要關心。本文是在分享運用Watson理論探討一位妊娠28週因車禍造成下肢骨折婦女之護理過程。筆者於99年11月23日至11月30日護理期間,透過觀察、會談、身體評估及查閱病歷方式收集資料,經統整分析後發現個案有(1)疼痛(2)身體活動功能障礙(3)焦慮等護理問題。藉由與病人建立信賴關係,運用關懷技巧,鼓勵個案表達內心感受及增加其信心,並提供復健運動指導與護理幫助,協助孕期婦女渡過疾病調適期。冀望此護理經驗提供大家分享,作為日後照顧此新病人時的參考。

英文摘要

Fractures during pregnancy could have physiological and psychological impacts on pregnant women. This paper describes the nursing experience of applying Watson’s theory to a 28-week pregnant woman who had lower extremity fractures due to a traffic accident. During the nursing period from November 23 to November 30 in 2010, data were collected through observations, interviews, physical assessment, and chart review. The health problems were identified as follows: (1) pain, (2) impaired physical mobility, and (3) anxiety. The authors established a mutual trust relationship with the patient and applied caring skills to encourage her to express inner feelings and gain confidence. The authors also provided rehabilitation exercise guidance and nursing assistance to help the patient get through the illness during pregnancy. This paper was expected to share the nursing experience with nursing professionals and could be a reference in caring for similar cases.

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