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題名:運用Orem理論於一位行洛斯手術病患之手術全期護理
書刊名:護理雜誌
作者:張寶芬
作者(外文):Chang, Pao-fen
出版日期:2003
卷期:50:6
頁次:頁94-102
主題關鍵詞:歐倫理論洛斯手術手術全期護理Orem's theoryRoss operationPerioperative nursing
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(2) 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:2
  • 共同引用共同引用:23
  • 點閱點閱:52
     本篇個案報告主要描寫照護一位罹患風濕性心臟病的病人,行Ross手術後3年,因主動脈瓣逆流復發進而接受二度開心手術之全期護理經驗。筆者於90年5月13日—90年5月26日期間,藉由觀察、訪談及應用Orem理論評估等技巧收集資料、確立問題。過程中發現,手術前個案所面臨的問題:焦慮;手術中:潛在危險性手術期間擺位之傷害、體溫過低;手術後:潛在危險性體液容積缺失、知識缺失。在整個照護過程中,運用Orem護理系統理論在術前提供病患支持教育性的護理措施,增加個案對手術的認知及因應能力,減輕其焦慮,使其有信心的接受手術;術中個案因麻醉自我照顧能力缺失提供完全代償性護理;到術後症狀穩定自我照顧能力恢復,提供部分代償性護理;待出院做準備時又提供支持與教育性護理,促進其日後自我照顧能力。藉此提昇護理服務品質,使個案獲得持續性與整體性的照護。
     This case report describes the perioperative nursing of a patient who had previously undergone the Ross operation for rheumatic heart disease and who received renewed cardiac surgery following recurrence of the disease after three years. During May 13 to May 26, 2001, Orem's self-care deficit theory was used to assess the problems--anxiety, risk for perioperative positioning injury, hypothermia, risk for fluid volume deficit, and knowledge deficit--and to provide supportive-educative nursing in the preoperative phase, wholly compensatory nursing in intraoperative phase, and partially compensatory and supportive-educative nursing in the postoperative phase. Through the practice of perioperative nursing, the patient's understanding of the surgery was increased and his anxiety was reduced. The patient received the surgery with confidence, came through the surgery smoothly, and obtained the ability of self-care after discharge. The study is expected to advance the quality of nursing and provide nursing activities to the patient continuously and completely.
期刊論文
1.梁淑媛、馬鳳歧(19981200)。一位周邊動脈阻塞疾病住院病患之不確定感經驗及其因應策略。護理雜誌,45(6),54-63。new window  延伸查詢new window
2.張靜媖(19901200)。由手術全期護理觀點談手術室病患護理。護理雜誌,37(4),13-18。new window  延伸查詢new window
3.Leino-Kilip, H.、Vuorenheimo, J.(1993)。Perioperative nursing care quality patient's opinion。American Operation Room Nursing Journal,57(5),1061-1063。  new window
4.Van Nooten, G.、Caes, F.、Francois, K.、Van Belleghem, Y.、Taeymans, Y.(1999)。Stentless or stented aortic valve implants in elderly patients?。European Journal of Cardiothoracic Surgery,15(1),31-36。  new window
5.明金蓮、林小玲(19961200)。開心手術病患術前護理指導與術後焦慮害怕程度之探討。榮總護理,13(4),414-423。new window  延伸查詢new window
6.謝淑芳、張秉宜、梁淑媛、王如華(19960900)。心臟病患與護理人員對護理指導需求認知之比較。護理研究,4(3),254-262。new window  延伸查詢new window
7.林淑珊、劉舒宜、張秀能、紀麗花、楊玉芳、馮容莊(20000600)。婦科手術室全期護理推展方案。榮總護理,17(2),166-176。new window  延伸查詢new window
8.林碧珠、莊琴英、王金蓮、陸嘉玲、林美杏(19980900)。手術前衛教對人工髖關節置換術患者之成效。榮總護理,15(3),293-302。new window  延伸查詢new window
圖書
1.伍雁鈴、吳秋燕、張玉珠、劉棻(2002)。手術室護理。台北:華杏。  延伸查詢new window
2.杜友蘭(1999)。護理理論與實務運用。台北:華杏。  延伸查詢new window
3.Rothrock, J. C.(1996)。Perioperative nursing care planning。St. Louis, Mo.:Mosby。  new window
圖書論文
1.梁家熙(1998)。主動脈瓣疾病。心臟血管外科學。台北:台灣商務印書館。  延伸查詢new window
2.Huysmans, H. A.、Kappetein, A. P.、Baur, L. H. B.(1999)。Root inclusion with stentless bioprosthesis。Stentless bioprostheses。Oxford, NY:Isis Medical Media Ltd。  new window
3.Westaby, S.(1997)。The aortic valve。Surgery for acquired aortic valve diseases。Oxford, NY:Isis Medical Media Ltd。  new window
 
 
 
 
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