本篇個案報告是描述照顧一位45歲心臟下壁心肌梗塞患者第一次住加護病房之護理經驗，護理 期間自95年6月1日至6月7日共7日，擔任個案之主護護士，採用全人模式評估，運用觀察、會談等 技巧收集主、客觀資料，發現並確立個案之護理問題有急性疼痛、心輸出量減少、焦慮、潛在危險 性感染，因為個案處於急性期，故需與家屬分離住進加護病房由專業護理人員照護，加上對於疾病 的不瞭解、害怕死亡，因此有焦慮不安之情形產生，筆者身為個案之主護護士，運用關懷以及視病 猶親之護理態度，發現個案問題，並針對問題，提供合宜之護理措施，使個案能緩解心中害怕，平 安渡過疾病之急性期，進而順利轉至普通病房。

This manuscript depicted the nursing experience of caring a 45-year-old patient with inferior myocardial infarction admitted to the intensive care unit for first time. The author, as a primary nurse, took care of this patient from June 1 to 7, 2006. Whole-person care model with the skills of clinical observation and interview were used to collect the subjective and objective data, discover and ascertain the nursing diagnoses including acute pain, anxiety, decreased cardiac output, risk for infection and so on. As this patient was in the acute phase of acute myocardial infarction, he was isolated from his family and admitted to the intensive care unit to receive professional care by staff nurse. Since he was not familiar with his own illness, he became restless and nervous. The author, as a primary nurse of the patient, took care of him like her own family, discovered his clinical problems, and provided appropriate nursing measures to alleviate his fear during the acute phase of illness. Hence he might be transferred to the general ward smoothly later.