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題名:照顧一位學齡前期兒童患Guillain-Barre' 症候群之護理經驗
書刊名:長庚護理
作者:陳逸玫池美華胡蓮珍
作者(外文):Chen, I-meiChih, Mei-hwaHwu, Lien-jen
出版日期:2003
卷期:14:2=42
頁次:頁184-190
主題關鍵詞:學齡前期Guillain-Barre'症候群遊戲治療PreschoolerGuillain-Barre' syndromePlay therapy
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:24
  • 點閱點閱:18
     本篇個案報告探討一位學齡前兒童患Guillain-Barre'症候群的護理經過。筆者利用觀察與會談,以Gordon十一項功能健康型態,評估其生理及心理的需要,將所得資料加以整理分析。結果顯示個案主要的護理診斷為 1. 呼吸道清除功能失效 2. 身體活動功能障礙 3. 營養狀況改變 4. 言語溝通障礙 5. 恐懼。筆者以 1. 促進個案排痰維持呼吸道通暢 2. 漸進式運動協助個案的活動功能 3. 按個案的需要維持足夠的營養 4. 利用圖卡及簡單字彙來增進與個案之溝通 5. 運用遊戲、說故事來減低個案住院治療之恐懼。筆者以愛心及同理心與個案建立良好的護病關係,引導個案表達心中之感受,使個案由冷漠轉為積極的參與身體活動計劃,而使病情得到改善。
     This case study reported the nursing experience of caring for a preschooler suffering from Guillain-Barre' syndrome. We used both observation and interviewing to assess the physical and psychological needs of the patient. The results of nursing diagnosis were ineffective airway clearance, impaired physical mobility, altered nutrition, impaired verbal communication, and feared. The nursing strategies included keeping airways clear, assisting case in mobilizing, maintenance of adequate nutrition, communication with case by utilizing picture cards and simple vocabulary, and application of games and stories to reduce fears. Through the construction of fine nurse-patient relationship, the patient showed improvement after eagerly participating body mobilization plan and being able to express himself verbally.
期刊論文
1.陳瀅淳(19971000)。Guillain-Barre'症候群患者之護理。護理雜誌,44(5),71-76。new window  延伸查詢new window
2.毛新春(20020600)。疾病對兒童、青少年社會發展的衝擊。護理雜誌,49(3),24-29。new window  延伸查詢new window
3.Hartung, H. P.、Kieseier, B. C.、Kiefer, R.(2001)。Progress in Guillain-Barre Syndrome。Current Opinion in Neurology,14(5),597-604。  new window
4.呂榮國(19980800)。Guillain-Barre'氏症候群。當代醫學,25(8)=298,30-34。  延伸查詢new window
5.Cromwell, C.、Dryden, S. L.、Jones, D.、Mackereth, P. A.(1999)。'Just the ticket': case studies, reflections and clinical supervision。Complementary Therapies in Nursing and Midwifery,5(2),42-45。  new window
6.Murray, D. P.(1993)。Impaired mobility: Guillain-Barre' syndrome。Journal of Neuroscience Nursing,25(2),100-104。  new window
7.Schmidt, C.(1990)。Pre-operation: Effects on immediate pre-operative behavior, post-operative behavior and in children having same day surgery。Maternal-Child Nursing Journal,19,321-330。  new window
8.Worsham, T. L.(2000)。Easing the course of Guillain-Barre Syndrome。RN,63(3),46-50。  new window
9.Ziegler, D. B.、Prior, M. M.(1994)。Preparation for surgery and adjustment to hospitalization。The Nursing Clinics of North America,29(4),655-669。  new window
10.蔡清標(20010400)。Guillain-Barre'症候群的治療原則。中華民國重症醫學雜誌,3(2),184-191。  延伸查詢new window
11.謝淑娟、陳季員(20000600)。應用繪畫來探討一位學齡期兒童住院經驗的知覺。護理雜誌,47(3),41-51。new window  延伸查詢new window
12.孫懿英、王浴、高玉玲(20000400)。運用「遊戲」協助學齡前期白血病童緩解住院壓力的護理經驗。護理雜誌,47(2),95-102。new window  延伸查詢new window
13.王賢雯、黃美智(19960300)。運用兒童溝通技巧協助一位六歲白血病患童適應治療的經驗。護理新象,6(1)=41,25-35。  延伸查詢new window
其他
1.陳月枝,中華民國護理會(1993)。溝通技巧簡介 (兒童癌症護理研習會),台北:全國護理人員研修中心。  延伸查詢new window
圖書論文
1.陳月枝(1998)。先天性肌肉病變。小兒科護理學。台北:華杏。  延伸查詢new window
 
 
 
 
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