本文乃在探討一位心律不整，需反覆電擊入住加護病房個案之急症照護經驗。照護期間爲2008年8月31日至2008年9月18日，筆者經由觀察、身體評估與家屬會談等方式收集病患資料，並以Gordon十一項健康功能型態評估模式爲指引，確立個案健康問題爲：一、心輸出量減少／心室搏動過速；二、皮膚完整性受損／反覆電擊；三、焦慮／反覆電擊及死亡威脅等主要護理問題。經由提供病人個別性的護理措施維持正常心輸出量、維護其皮膚完整性並減輕因電擊帶來的死亡焦慮等等，且在醫療團隊共同努力之下，終使病人病情得以緩解，及早轉出加護病房。藉由本篇個案報告提供加護病房護理人員，日後照顧此類個案之參考。

The target of this thesis is to discuss the critical care experience for an Arrhythmic patient who needs Cardioversion staying in ICU. The nursing period started from 31 Aug 2008 to 18 Sep 2008. The writer has collected the information of patient through the observation, body assessment and interview with family. Besides, the Gordon's 11 Functional Health Patterns has been used for assessment. The identified health problems include: (1) decreased cardiac output/ ventricular tachycardia; (2) impaired skin integrity/ Cardioversion; (3) anxiety/ Cardioversion and death risk. Under the effort of medical team, individual nursing measure has been provided to patient in order to maintain the normal cardiac output, preserving the skin integrity and reducing the death anxiety caused by Cardioversion. Finally, the patient's condition has been improved and he could leave the ICU. It is expected this report can be the reference for nursing personnel in ICU taking care similar cases in future.