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題名:照顧一位SARS患者之護理經驗
書刊名:護理雜誌
作者:王子胤王筱珮
作者(外文):Wang, Tzu-yinWang, Shiao-pei
出版日期:2003
卷期:50:6
頁次:頁87-93
主題關鍵詞:嚴重急性呼吸道症候群急性呼吸窘迫症候群社交隔離焦慮Severe acute respiratory syndromeAcute respiratory distress syndromeSocial isolationAnxiety
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 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:6
  • 共同引用共同引用:0
  • 點閱點閱:63
     感染SARS的患者,在短時間內不僅要經歷身體上接二連三不適的症狀,更必須面對一連串心理上的煎熬。本文是探討一位SARS患者住院過程因疾病及嚴格隔離措施引發之相關護理問題,進而呈現相關之照護經驗。筆者於護理期間以身體檢查、會談、觀察、收集疾病史、以及與醫療團隊合作討論的方式收集相關資料。因為疾病本身的進展和治療的需要,個案於住院當中漸漸出現氣體交換功能障礙、腹瀉、現存性感染、活動功能障礙的護理問題,而嚴格的隔離措施也衍生出社交隔離和焦慮的問題。因為SARS特殊照護方式,筆者不斷透過與醫療團隊的合作與討論,進行具個別性的照護,並以主動關懷、有效溝通、和主動提供相關訊息等方式,協助個案解決護理問題。SARS的照護是全新的經驗,期望此篇個案報告可做為護理人員照顧此類患者之參考,不僅解決個案生理上的病痛,也多給予情緒方面的照護,達到整體性護理的目的。
     A patient with SARS infection experiences not only physical suffering in a short period but also psychological torment. This case report describes the experience of nursing care of a patient with SARS who suffered related nursing problems from the disease and the strict isolation strategy. During the care period, we collected data through physical examination, interview, observation, medical history and discussion with the care team. During the case's period in hospital, with the progress of the disease and his treatment needs, he underwent gaseous exchange impairment, diarrhea, infection, and activity intolerance. The strict isolation strategy also confronted the case with social isolation and anxiety, which also required nursing responses. Because of the specific method of care, we implemented individual care through teamwork and cooperation, active caring, effective communication, and provision of related information. Consequently, this case's problems were resolved. Caring for SARS patients is a completely new experience and this case is presented as an example for future care in similar cases. Besides resolving physical discomfort, emotional support should be emphasized to achieve holistic nursing.
期刊論文
1.Balas, M. C.(2000)。Prone positioning of patients with acute respiratory distress syndrome: Applying research to practice。Critical Care Nurse,20(1),24-36。  new window
2.Dossey, B.(1996)。These interventions can help your patient relax and make his hospitalization more pleasant。Nursing,26(10),52-54。  new window
3.Dyer, I.(1995)。Preventing the ITU syndrome or how not to torture an ITU patient。Intensive and Critical Care Nursing,11(4),223-232。  new window
4.Fajemilehin, B. R.、Fabayo, A, O.(1991)。Perception of situational stress associated with hospitalization among selected Nigerian patients。Journal of Advanced Nursing,16(4),469-474。  new window
5.Lee, N.、Hui, D.、Wu, A.、Chan, P.、Cameron, P.、Joynt, G. M.、Ahuja, A.、Yung, M. Y.、Leung, C. B.、To, K. F.、Lui, S. F.、Szeto, C. C.、Chung, S.、Sung, J. J. Y.(2003)。A major outbreak of severe acute respiratory syndrome in Hong Kong。The New England Journal of Medicine,348,1986-1994。  new window
6.Marion, B. S.(2001)。A turn for the better: "Prone positioning" of patients with ARDS。American Journal of Nursing,101(5),26-34。  new window
7.Thies, R. F.、Hotter, A.(1999)。Preventing complications of ARDS therapy: Manage the technology, and humanize the environment。American Journal of Nursing,99(5),34-40。  new window
8.Tsang, K. W.、Ho, P. L.、Ooi, G. C.、Yee, W. K.、Wang, T.、Chan-Yeung, M. C.、Lam, W. K.、Seto, W. H.、Yam, L. Y.、Cheung, T. M.、Wong, P. C.、Lam, B. I. M. S.、Chan, J.、Yuen, K. Y.、Lai, K. N.(2003)。A cluster of severe acute respiratory syndrome in Hong Kong。The New England Journal of Medicine,348,1977-1985。  new window
其他
1.衛生署疾病管制局(20030531)。「嚴重急性呼吸道症候群」治療建議,http://www.cdc.gov.tw/SARS/。  延伸查詢new window
2.衛生署疾病管制局(20030322)。SARS臨床症狀概要,http://www.cdc.gov.tw/SARS/。  延伸查詢new window
3.衛生署疾病管制局(20030428)。院內感染SARS管控規定,http://www.cdc.gov.tw/SARS/。  延伸查詢new window
4.Center for Disease Control and Prevention(20030818)。Severe acute respiratory syndrome,http://www.cdc.gov/ncidod/sars/pdf/sars/abguide.pdf。  new window
5.Center for Disease Control and Prevention(20030929)。Information for SARS patients and their close contacts,http://http://www.cdc.gov/ncidod/sars/factsheetcc.htm。  new window
 
 
 
 
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