本文敘述運用Swanson關懷照顧理論照護一位因急性心肌梗塞導致心因性休克之病人，經急救後裝置葉克膜及主動脈內氣球幫浦輔助循環之護理經驗。筆者於2017年9月5日至2017年10月9日護理期間以觀察、身體評估、筆談及會談等技巧收集資料，並運用Gordon十一項健康功能型態評估並確立個案之護理問題，包含心輸出量減少、身體活動功能活動障礙、死亡焦慮等問題。護理過程中，首要積極治療穩定血液動力學之變化，並避免個案產生各項合併症；因身體活動功能受限，及早會診復健師介入復健運動；個案面對疾病造成威脅的情緒反應、入住加護病房之社交隔離、加上使用鎮靜劑、插管等治療以及環境感知剝削加上溝通能力障礙，導致有死亡焦慮情形，並運用語言及非語言的溝通方式、給予情緒支持等措施，改善個案之焦慮。在臨床上面對重症患者，除了提供病人基本的生理照顧外，在心靈層面的照護也是相當重要的，希望藉此護理經驗分享，提供護理人員日後照護此類病人之參考，進而提升病人之照護品質。

This report describes the nursing experience of using Swanson’s caring theory to care for a patient with cardiogenic shock due to acute myocardial infarction, and after the first aid, device extra-corporeal membrane oxygenation and Intra-Aortic Balloon Pump assisted circulation. During the nursing period from September 5 to October 9 2017, the author collected data using observations, physical assessments, conversation by writing, and interviews, and employed Gordon's 11-item functional health patterns assessment to identify the care issues that the patient had "decreased cardiac output," "Physical activity dysfunction," and "death anxiety." During the nursing process, the first active treatment to stabilize the changes in hemodynamics, and to avoid complications. Due to Physical activity dysfunction, early consultation of physical therapist involved in rehabilitation exercise. In the face of emotional response to the threat of illness, social isolation in the intensive care unit, treatment with sedatives and intubation, environmental perception and exploitation, as well as communication disorders have led to death anxiety. And use language and non-verbal communication methods, emotional support and other measures to improve the sense of hopelessness of the case.In the clinical case, in addition to providing basic physiological care for patients, it is also very important to care at the spiritual level. It is hoped that this nursing experience will be shared to provide caregivers with reference to such patients in the future, thereby improving the quality of care of patients.