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題名:照護年輕急性心肌梗塞病患之我見
書刊名:榮總護理
作者:羅家儀
作者(外文):Lo, Chia-yi
出版日期:2004
卷期:21:3
頁次:頁268-277
主題關鍵詞:急性心肌梗塞心臟復健Acute myocardial infarctionCardiac rehabilitation
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:42
  • 點閱點閱:4
本文主要探討一位年輕的急性心肌梗塞患者的加護照護經驗。筆者經由Gordon十一項功能性健康型態進行整體性評估與會談,發現有疼痛、現存性出血、高危險性活動無耐力、焦慮等問題。在護理過程中除了給予急性期照護外,也注意到導致患者焦慮的不確定感來源,予適當的解釋與衛教以解除焦慮,且協助患者確實執行心臟復健及人生規劃的修改。唯主治醫師未能同步安排患者做心臟復健致後續護理指導受限,故建議未來在護理學校及在職教育中能安排心臟復健相關課程,使護理人員在臨床上不僅能教導心肌梗塞患者心臟復健,且能提醒其出院後,也須至復健科門診做持續性的心臟復健,以獲得更有品質的生活。
The purpose of this article is to illustrate the case of a young acute myocardial infarction patient with many problems (such as, pain, active/high risk for bleeding, high risk for activity intolerance and anxiety) by Gordon 11 health-physilogical scale. During the process of nursing, the nurses offered the patient not only the critical care, but also health education and a suitable explanation of his treatment and situation in order to release his anxiety. Furthermore, the nurses assisted the patient to do cardiac rehabilitation and modify his life plan. But the limitation was that the doctor in charge didn't arrange the cardiac rehabilitation for the patient. The author suggests to offer the cardiac rehabilitation related courses in the nursing school and on-the-job training for nurses in the future. The training will assist nurses in teaching the patients with myocardial infarction both to do cardiac rehabilitation well and to have treatment in the Physical Medicine and Rehabilitation Outpatient Services continuously as a result to rise the quality of the patient's life.
期刊論文
1.許淑蓮(20010400)。初患心肌梗塞病人不確定感與焦慮反應--因應行為效應之探討。護理研究,9(2),159-171。new window  延伸查詢new window
2.Chiou, A.、Potempa, K.、Buschmann, M. B.(1997)。Anxiety, depression and coping methods of hospitalized patients with myocardial infarction in Taiwan。International Journal of Nursing Studies,34(4),305-311。  new window
3.陳素惠、梁靜祝(19990600)。執行心臟復健運動對一位冠狀動脈疾病患者活動耐力之成效。長庚護理,10(2)=26,50-55。new window  延伸查詢new window
4.黃翠紋(20001000)。警察工作壓力之探討。中央警察大學學報,37,99-124。new window  延伸查詢new window
5.程俊傑(20000300)。急性心肌梗塞的最新治療。中華民國急救加護醫學會雜誌,11(1),1-9。  延伸查詢new window
6.莊麗彬、張煥禎、許詩典(20010400)。心肌梗塞病人的照護及三段預防。基層醫學,16(4),76-80。  延伸查詢new window
7.葉玫伶、邱艷芬(19981200)。心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討。護理研究,6(6),501-512。new window  延伸查詢new window
8.陳明豐(19991000)。急性心肌梗塞診斷與處置之新進展。中華民國重症醫學雜誌,1(1),62-70。  延伸查詢new window
9.廖秋月(19950600)。急性心肌梗塞病患之護理。榮總護理,12(2),156-161。new window  延伸查詢new window
10.劉淑樺(20010300)。活動無耐力之概念分析。榮總護理,18(1),80-86。new window  延伸查詢new window
11.蔡仁貞(19960300)。心臟復健工作實施之目的與展望。榮總護理,13(1),47-52。new window  延伸查詢new window
12.蔡仁貞(19990800)。心臟病患對心臟復健工作的認知與實施需求之探討。新臺北護理期刊,1(1),59-67。  延伸查詢new window
13.Bradi, B. G.、Corine, M. M.(2001)。Acute coronary syndrome。Nursing,31(3),52-60。  new window
研究報告
1.行政院衛生署(1994)。台灣地區衛生統計。台北:行政院衛生署。  延伸查詢new window
圖書
1.Fardy, P. S.、Yanowitz, F. G.(1995)。Cardiac rehabilitation, Adult fitness, and Exerciser testing。Baltimore:Williams & Wilkins。  new window
圖書論文
1.徐斌、王效道(1993)。心肌梗塞後的心理反應。心身醫學--心理生理醫學的基礎與臨床。台北:合記。  延伸查詢new window
 
 
 
 
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