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題名:一位慢性阻塞性肺疾病急診病患的護理經驗
書刊名:榮總護理
作者:陳瑋慧張碧華
作者(外文):Chen, Wei-huiChang, Pi-hua
出版日期:2004
卷期:21:2
頁次:頁170-178
主題關鍵詞:慢性阻塞性肺疾病護理經驗Chronic obstructive pulmonary diseaseEmergency patientNursing care experience
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(1) 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:1
  • 共同引用共同引用:14
  • 點閱點閱:5
本篇是護理一位66歲慢性阻塞性肺疾病 (Chronic Obstructive Pulmonary Disease, COPD)之男性個案,因呼吸困難至急診求診。於2003年1月12日至1月20日照護期間,筆者以會談及觀察技巧收集資料,並運用Gordon's十一項功能性健康型態評估為依據,發現個案之健康問題有氣體交換功能障礙、呼吸道清除功能失效、活動無耐力、焦慮、知識缺失。藉由正確呼吸道訓練,適當營養支持,增強個案之獨立性,進而適應疾病變化之過程。自此次護理經驗,透過提供個案身心照顧,使其在生理、心理得到良好的適應,期以此經驗與護理同仁共享,並作為日後照顧此類患者之參考。
The number of patients with chronic obstructive pulmonary disease (COPD) is growing with the gradually deteriorating quality of air in our living environment. By appropriate treatment and nursing procedures, we can lower the frequency of hospitalization, thereby reducing the medical costs and improving patients' quality of life. This paper reports the nursing care of a 66-year-old male patient with chronic obstructive pulmonary disease, who sought medical help at an emergency room due to dyspnea. The authors gathered information with skills of conservation and observation as well as application of Gordon's eleven items of evaluation of functional healthy status during the nursing care period between January 12th and January 20th, 2003. We found that the healthy problems of the patient were "ineffective breathing pattern", "ineffective airway clearance", "anxiety", "Activity intolerance", and "knowledge deficit". By respiratory training and self-care skills, the patient could reduce anxiety and assert his independence, and then become accustomed to the disease process. From this nursing experience, we provided physical and mental care to the patient who therefore acquired good adaptation in the respective fields. We would like to share the experience with all nursing colleagues and provide a reference for caring such patients in the future.
期刊論文
1.郭鳳霞、高偉華(19951200)。COPD患者常見的護理問題及其處理。榮總護理,12(4),321-327。new window  延伸查詢new window
2.許雪貞(19970400)。慢性阻塞性肺疾病患之呼吸復健。護理雜誌,44(2),87-92。new window  延伸查詢new window
3.黃正宜、黃秀梨、張瑛(19970800)。呼吸功能障礙病人的護理。護理雜誌,44(4),87-93。new window  延伸查詢new window
4.馬素華、高紀惠(19970300)。慢性阻塞性肺病患者實施呼吸訓練與痰液清除護理方案之成效。長庚護理,8(1)=17,1-13。new window  延伸查詢new window
5.鄭綺、楊小娟、蔡仁貞(20000200)。輕中度和重度肺功能障礙慢性阻塞性肺疾病患者運動自我效能和運動測試結果比較之探討。護理研究,8(1),13-25。new window  延伸查詢new window
6.許惠娥、王維芳(19990900)。慢性阻塞性肺疾病個案低效性呼吸型態之急診室護理。護理新象,9(3)=55,40-47。  延伸查詢new window
7.李美雲(1997)。慢性阻塞性肺部疾病的居家護理。高雄榮總醫訊,2(12)。  延伸查詢new window
8.盧政梅(19980900)。協助一位慢性阻塞性肺疾病患者呼吸再訓練之護理經驗。護理新象,8(3)=51,64-71。  延伸查詢new window
9.Schedel, E. M.、Connolly, M. A.(1999)。Lung volume reduction surgery: new hope for emphysema patients。Dimensions of Critical Care Nursing,18(1),28-34。  new window
10.Grossbach, I.(1994)。The COPD patient in acute respiratory failure。Critical Care Nurse,14(6),32-38。  new window
11.Brewin, A.(1997)。Comparing asthma and chronic obstructive Cr v pulmonary disease (COPD)。Nursing Standard,12(4),49-55。  new window
12.Hanson, M. J. S.(1997)。Caring for a patient with COPD: how to help him breathe easier once the damage is done。Nursing,27(12),39-44。  new window
13.曾淑津(19970600)。慢性阻塞性肺疾病患者的疾病症狀、身體功能狀態與心理感受之相關性探討。長庚護理,8(2)=18,16-28。new window  延伸查詢new window
圖書論文
1.林美良(1998)。上呼吸道功能失常病人之護理。拉克曼內外科護理學。台北:華杏。  延伸查詢new window
 
 
 
 
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