本文是探討一位罹患創傷性第3~4頸椎椎間盤突出合併脊髓壓迫損傷病患，行第3、4頸椎椎 板切除術及融合手術術後於加護病房期間之照護經驗。護理期間(2008年3月2日至3月12日)藉由觀 察、會談、身體評估並運用生理、心理、社會、靈性等層面收集資料，確立個案主要的健康問題有 組織灌流失效(周邊)、呼吸道清除功能失效、身體活動功能障礙及焦慮。筆者應用整體護理概念， 以傾聽、陪伴、同理心及持續性的關懷等技巧，與個案建立良好的護病關係，提供個別性及整體性 的疾病護理相關資訊，協助個案渡過休克階段、恢復呼吸功能，避免肢體肌肉攣縮，並勇於面對疾 病所帶來的身心困擾，終在3月12日順利轉至一般病房。期望此經驗能提供臨床護理同仁對此類個 案照護之瞭解與學習。

This report explores that the nursing care of a patient with C3-4 herniated intervertebral disc (HIVD) combined with spinal cord compression after a C3-4 laminectomy and fusion operation. During the nursing period from Mar. 2 to 12 in 2008, the data were collected as the patient’s conditions through physical, mental, social and spiritual levels by the observation, interview and physical assessment. The four major health problems of the client were ineffective tissue perfusion (peripheral); ineffective airway clearance; impaired physical mobility; and anxiety. The author gathered client information with the use of listening, company, empathy and continuing caring skills to realize the holistic nursing concept for establishing a good nurse-patient relationship. These interventions were made to restore respiratory function and to avoid muscle spasm by providing individual care and holistic disease information to assist the client to face spinal shock stage and adapt to physical-mental disturbance from disease. The client was transferred to a general ward successfully in Mar. 12, 2008. It is expected that this report related to the individual care experience can help staff nurses to understand and learn.