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題名:一位創傷性脊髓損傷患者無望感之護理經驗
書刊名:長庚護理
作者:廖芳綿
作者(外文):Liao, Fang-mien
出版日期:2005
卷期:16:2=50
頁次:頁214-225
主題關鍵詞:創傷後反應脊髓損傷無望感靈性照護希望Post trauma responseSpinal cord injuryHopelessnessSpriitual careHope
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(3) 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:3
  • 共同引用共同引用:63
  • 點閱點閱:36
     本文是探討一位車禍後脊髓損傷患者無望感之照護經驗。於護理期間運用田野研究法透過觀察、會談、傾聽等技巧收集資料,完成十五篇行為過程記錄。依據賀斯希望指標(認知 / 時間、情感 / 行為、歸屬 / 關係層面)為評估指引,確認個案有焦慮、無望感等主要護理問題。首先,在照護期間運用人性關懷與個案建立信任的護病關係,逐漸深入了解其擔心、害怕。藉由提供社會資源、介紹成功案例,以及不斷地給予鼓勵,恢復其價值信念及希望感受,進而重新思索生命意義,最後協助個案渡過無望感。
     The Study described the nursing experience of caring for a patient with spinal sord injury and the subsequent hopelessness after car accident. The study employed field research method by means of observation, interview, and listening techniques to collect data. After that, fifteen processing records were completed and analyzed. In this study, Herth Hope Index (Cognitive-temporal dimension, Affective-behavioral dimension, Affiliate-contextual dimension) was adopted to identify that the patient's major nursing problems included anxiety and hopelessness. According to human caring, the trust relationship between the patient and the nursing staff was hence created. Moreover, the patient's worries anad fears were gradually revealed by in-depth and frequent interactions. Secondly, for the purposes of maintaining value-belief and hope, the patient was successfully encouraged by introducing some social resources and inspirational cases. Consequently, the patient has been progressively encouraged to recover her self-confidence and consider the deeper meaning of life. Accordingly, the patient conquered the hopelessness.
期刊論文
1.Dufault, Karin、Martocchio, Benita C.(1985)。Symposium on compassionate care and the dying experience. Hope: its spheres and dimensions。Nursing Clinics of North America,20(2),379-391。  new window
2.陳俊霖、李明濱(20020200)。慢性不可逆性傷害後之心理照顧--以脊髓損傷為例。臺北市醫師公會會刊,46(2),28-33。  延伸查詢new window
3.Holt, J.(2000)。Exploration of the Concept of Hope in the Dominican Republic。Journal of Advanced Nursing,32(5),1116-1125。  new window
4.潘雪幸、丘周萍(20040200)。無望感之概念分析。護理雜誌,51(1),85-90。new window  延伸查詢new window
5.張玉惠、吳瓊滿(20030600)。護理之家一位無望感住民的護理經驗。護理雜誌,50(3),99-104。new window  延伸查詢new window
6.Carson, V. B.、Soeken, K. L.、Shanty, J.、Terry, L.(1990)。Hope and spiritual well-being: Essentials for living with AIDS。Perspectives in Psychiatric Care,26(2),28-34。  new window
7.賴明亮(20020500)。意義治療法簡介。安寧療護雜誌,7(2),153-164。new window  延伸查詢new window
8.Everson, S. A.、Goldberg, D. E.、Kaplan, G. A.、Cohen, R. D.、Pukkala, E.、Tuomiletho, J.、Salonen, J. T.(1996)。Hopelessness and risk of mortality and incidence of myocardial infarction and cancer。Psychosomatic Medicine,58(2),113-121。  new window
9.李石增(19910300)。脊椎受傷之回顧--2065例之分析(1927-1988)。中華民國外科醫學會雜誌,24(2),606-614。  延伸查詢new window
10.璩大成(20000400)。脊椎損傷。中華民國重症醫學雜誌,2(2),166-172。  延伸查詢new window
11.Clark, P. A.、Drain, M.、Malone, M. P.(2003)。Addressing patients'€™ emotional and spiritual needs。Joint Commission Journal on Quality and Safety,29(12),659-670。  new window
12.Dubendorf, P.(1999)。Spinal cord injury pathophysiology。Critical Care Nursing Quarterly,22(2),31-35。  new window
13.Mitcho, K.、Yanko, J. R.(1999)。Acute care management of spinal cord injuries。Critical Care Nursing Quarterly,22(2),60-74。  new window
14.Wenger, M.、Adam, P. J.、Alarcon, F.、Markwalder, T. M.(2003)。Traumatic cervical instability associated with cord oedema and temporary quadriparesis。Spinal Cord,41(9),521-526。  new window
15.吳淑芳(20000800)。脊髓損傷病人不確定感之評估與護理。護理雜誌,47(4),52-58。new window  延伸查詢new window
16.胡潔瑩、王秀紅(20031100)。希望的概念分析。高雄護理雜誌,20(2),1-10。  延伸查詢new window
17.莊春蜜、張育萍(20040200)。運用希望建立技巧於一位癌末無望感患者之照護經驗。護理雜誌,51(1),106-111。new window  延伸查詢new window
18.郭梅珍、高紀惠(19960300)。車禍外傷患者創傷後反應的定義特徵之臨床效度測定。長庚護理,7(1)=13,12-25。new window  延伸查詢new window
19.楊瑞琳、王桂芸(20011200)。脊髓損傷之病生理變化--個案研討。護理雜誌,48(6),96-102。new window  延伸查詢new window
20.楊聰財、張敏(20030300)。自殺企圖者之絕望感與生活壓力及因應模式之關係。臺灣精神醫學,17(1),41-49。new window  延伸查詢new window
21.Herth, K. A.(2001)。Development and Implementation of a hope intervention program。Oncology Nursing Forum,28(6),1009-1017。  new window
22.Kennedy, P.、Rogers, B.、Speer, S.(1999)。Spinal cord injuries and attempted suicide: A retrospective review。Spinal Cord,37(12),847-852。  new window
23.Kylmä, Jari、Vehviläinen-Julkunen, Katri、Lähdevirta, Juhani(2001)。Hope, despair and hopelessness in living with HIV/AIDS: A grounded theory study。Journal of Advanced Nursing,33(6),764-775。  new window
24.楊克平(19980600)。護理實務中之靈性照護。護理雜誌,45(3),77-83。new window  延伸查詢new window
25.Herth, K.(1992)。Abbreviated instrument to measure hope: Development and psychometric evaluation。Journal of Advanced Nursing,17(10),1251-1259。  new window
圖書
1.Farran, C. J.、Wilken, C. S.、Popovich, J. M.(1992)。Hope and hopelessness: Critical clinical constructs。Thousand Oaks, California:Sage Publications。  new window
2.Farina, C. J.、Hearth, A. K.、Popovich, J. M.(1995)。Hope and hopelessness: Critical clinical constructs。London:Sage。  new window
其他
1.王顏和(20040103)。脊髓損傷概論,http://disable.yam.com/resource/life/spinal/ch01.htm。  延伸查詢new window
圖書論文
1.白司麥(2001)。創傷後反應。新臨床護理診斷。台北:華杏。  延伸查詢new window
2.白司麥(2001)。心靈困擾。新臨床護理診斷。台北:華杏。  延伸查詢new window
3.周幸生、程仁慧(2001)。無望感。新臨床護理診斷。台北:華杏。  延伸查詢new window
 
 
 
 
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