本報告系探討一位冠動動脈心臟疾病患者，在接受冠狀動脈繞道手術後引發身心困擾的護理經驗。筆者於護理期間（2005年3月10日～3月27日）位生理、心理、社會發展、靈性等層面評估，藉由直接照顧、觀察、會談等方法收集資料，加以整理分析後，確認個案有1.急性疼痛/行冠狀動脈繞道手術致組織損傷；2.呼吸道清除功能失效/與無法有效咳嗽、痰多黏稠有關；3.組織灌流改變/四肢末梢水腫（2+）、發紺；4.焦慮/與術後氣管內管留置及擔心病情有關等護理問題，在護理過程中，運用整體照護，除提供生理的照顧之外並予同理心、主動關懷、鼓勵表達內心感受，滿足個案的健康照護需求，使個案能得到良好的身心調適，正向面對術後的壓力，並順利出院。願藉由護理經驗的分享，期望能提照護冠狀脈繞道手術患者之護理品質。

The purpose of this report was to describe the nursing experience of care a patient with coronary artery disease accept coronary artery bypass grafts induce body and mind disturbance. The assessment was based on the concept of the whole-man and human responses. The four major health problems were as following: acute pain, ineffective airway clearance, ineffective tissue perfusion, and anxiety. The author Provided psychological support with empathy to assist the patient coping with the health problems, and help the patient successfully discharged from hospital, and led the patient having positive attitude toward disease adjustment.