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篇名 一位流感重症病人脫離呼吸器之照護經驗
卷期 29:1
並列篇名 A nurinsg experience of a patient with severe influenza and weaning from mechanical ventilation
作者 許鏸云顏雅惠蔡璧光
頁次 063-078
關鍵字 流感重症呼吸衰竭呼吸器脫離severe influenzarespiratory failureventilatory weaning
出刊日期 202306

中文摘要

本文描述一位A型流感重症導致呼吸衰竭,經歷插管治療及移除後,因二氧化碳滯留需接受非侵襲性正壓呼吸器輔助之個案護理經驗。護理期間2019/7/4至7/11,依據Gordon十ㄧ項健康型態評估,藉由會談及觀察方式收集資料,確立健康問題為:活動無耐力、營養不均衡:多於身體需要、焦慮及照顧者角色緊張等。針對以上護理問題,結合跨團隊合作,訂定個別性計畫,循序漸進的執行肺復原運動,訓練呼吸肌,改善活動耐受性。另外,建立正確飲食認知,達成健康飲食習慣。鼓勵個案表達心理感受,參與呼吸器脫離計畫,提升疾病控制感,並緩解焦慮。同時,主要照護者也面臨到照護壓力,提早介入居家準備,最終不僅成功脫離呼吸器,也達成全人照護之目標。

英文摘要

This article describes a case of severe influenza A had respiratory failure and depenent ventilator use. After undergoing intubation treatment and extubation, she still needs to receive non-invasive positive pressure respirator assistance due to carbon dioxide retention. Data were collected between July 4, 2019 and July 11, 2019 using Gordon 11-Items Functional Health Patterns, observations, and interview. Health problems identified included activity intolerance, imbalanced nutrition: more than the body requirements, anxiety, and caregiver role strain. In response to the above nursing problems, I used interprofessional practice. We will jointly formulate individual plans to implement lung recovery exercises step by step, train breathing muscles, and improve activity tolerance. Build awareness of correct eating, and achieve healthy eating habits. Encourage cases to express their feelings, participate in the ventilator detachment plan, promote disease control, and relieve anxiety. At the same time, for the main caregivers, early intervention in home preparations not only succeeded in getting out of the respirator, but also achieved the goal of holistic care.

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