本文描述一位骨髓炎導致急性呼吸衰竭合併呼吸器使用病人，因不了解呼吸器脫離訓練計畫及害怕拔管失敗導致焦慮不安，加上背部酸痛及呼吸器使用期間活動受限，肌肉力量逐漸下降，活動都需他人協助，使心情更加低落，導致呼吸器脫離訓練延遲。筆者於2015/9/11 至9/28 護理期間，運用身體檢查及Gordon 十一項健康功能型態進行評估，藉由病歷查閱、家屬會談及觀察等方式收集資料，歸納出個案有呼吸道清除功能失效、焦慮、身體活動功能障礙等健康問題。在護理過程中，運用胸腔復原運動及整合性跨團隊照護，增加其呼吸肌、上臂肌肉強度、耐力以及下肢活動力，提升自我控制感，並主動關懷、建立互信的治療性人際關係，除提供呼吸器脫離相關知識外，同時配合精油、按摩及音樂改善焦慮情緒，連結宗教、家庭等支持系統，協同克服焦慮與增強信心，終使病人成功脫離呼吸器。

This article is to describe the nursing experience of how to get a patient, who developed osteomyelitis and acute respiratory failure, weaned from mechanical ventilator successfully. The patient needed respiratory support due to the development of osteomyelitis and the complication of acute respiratory failure. The patient lacked of understanding in training of ventilator weaning, had anxiety over possible extubation failure, and suffered from back soreness. As the patient’s physical activities limited, declining of muscle strength and relying on other’s help made the patient feel even more depressed. All these reasons delayed the training of ventilator weaning. During the nursing care period , from September 11th, 2014 to September 28th, 2014, physical examination and Gordon 11 Function Health Pattern assessment were used. The author gathered some information by checking the patient's medical history, communicating with the patient's family, observing, and other methods to figure out the patient's health problems such as ineffective airway clearance, anxiety, impaired physical mobility, and other problems. Throughout the nursing care period, the author used many different methods to help the patient wean from mechanical ventilator such as pulmonary rehabilitation and integrated interprofessional practice. She also improved the patient's function of respiratory muscles, upper arm muscle strength, muscle endurance, lower limb activities, and self-control ability. The author showed concern for the patient in an active way, developed trusting therapeutic interpersonal relationship, and provided knowledge about ventilator weaning. The author used not only oil to massage but also music to calm down the patient's anxiety. Religious, familial, and other support systems were used to help the patient to overcome the anxiety and to build up the confidence. And finally, all of the methods and help mentioned above had the patient wean from the mechanical ventilator successfully.