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題名:照護一位多發性腦膿瘍中年婦女之復健護理經驗
書刊名:長庚護理
作者:黃雅媛曾斐琳巫怡翎
作者(外文):Huang, Ya-yuanTseng, Fei-linWu, Yi-ling
出版日期:2011
卷期:22:2=74
頁次:頁229-237
主題關鍵詞:多發性腦膿瘍中年婦女復健護理Multiple brain abscessMiddle-aged womenRehabilitation
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 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:0
  • 共同引用共同引用:25
  • 點閱點閱:145
中樞神經系統是生命與意識的主宰,一旦發生感染必然非常嚴重,甚至會危及性命。本篇報告主要描述照護一位罹患多發性腦膿瘍之中年婦女的復健護理經驗。個案因腦膿瘍導致無法執行自我照護且出現外觀及角色功能改變等問題,護理期間自2008年3月28日至5月5日,筆者運用羅氏適應模式進行評估,以觀察、會談、身體評估及病歷查閱等技巧進行資料收集,發現個案有身體活動功能障礙、身體心像紊亂和角色扮演改變等健康問題。筆者經由跨團隊的整合,設計符合個案需求的肢體復健運動計劃使其增加肌肉力量,進而能自行使用助行器下床活動並執行基本的自我照護活動。運用符合個案需求的裝扮方式讓其對自己外表的信心增加,進而接受外觀改變的事實。透過與家庭成員共同討論對策,協助個案調整其角色功能的扮演,適應疾病過程並積極復健,進而順利出院。期望此篇文章可提供日後護理人員在照護類似個案之參考,使個案及家屬能獲得適切的護理照護。
Central nervous system (CNS) is the master of human life and consciousness. CNS infection is a serious condition and sometimes can be fatal. This article described the rehabilitation-nursing experience of taking care of a middle-aged women with multiple brain abscesses. During the period from March 28th to May 5th in 2008, we used Roy's model to evaluate the patient by observation, interview, physical assessment, and history taking. We found the problems of this patient included physical instability, psychological disorientation, intolerance to appearance change, and confusion of self-identity. We used physical rehabilitation to intensity her muscle power; used role play to help her increase the confidence and then accept the truth of her outside looking change. We also discussed with her family about how to take care of this patient to improve her self-identity and let her adapt to the nature disease process and then be discharged as soon as possible. We hope this article can serve as a reference for nurses taking care of similar patients and communicating with family members.
期刊論文
1.陳佳鳳、卓妙如、溫千慧、楊仲棋(20071200)。運用巴氏量表於出血性腦中風患者復健治療三個月成效追蹤。臺灣家庭醫學雜誌,17(4),250-259。  延伸查詢new window
2.陳美慧、葉莉莉(20020200)。一位腦中風患者身體心像紊亂之居家護理經驗。護理雜誌,49(1),93-98。new window  延伸查詢new window
3.Pruzinsky, T.(2004)。Enhancing quality of life in medical populations: A vision for body image assessment and rehabilitation as standards of care。Body Image,1(1),71-81。  new window
4.曹麗英、蘇美禎、安奇(20040200)。中年期之健康照護:多重衝擊的人生過渡期。護理雜誌,51(1),9-13。new window  延伸查詢new window
5.臺美光(20041200)。女人與中年的對話。應用心理研究,24,215-244。new window  延伸查詢new window
6.李選、盧瑛琪、顏文娟、林淑琴(20040200)。中年期於人生轉折過程所呈現之健康問題與因應。護理雜誌,51(10,14-19。new window  延伸查詢new window
7.林惠如、李慈音(20040200)。中年期之健康照護:生病經驗之衝擊--以癌症為例。護理雜誌,51(1),30-34。new window  延伸查詢new window
學位論文
1.Liu, C. F.(2004)。A profile of field energy following a sudden episode of physical disablement: A Rogerian perspective(博士論文)。The Pennsylvania State University,University Park, Pennsylvania。  new window
其他
1.王玉惠(20061001)。腦膿瘍(brain abscess)。  延伸查詢new window
2.吳菁宜、吳佩璇、林克忠、柯智裕、陳玥岑、張雅棻等(2008)。改良式制動療法與雙側動作訓練對中風後動作與日常生活功能成效之對照試驗。  延伸查詢new window
3.李應璋、邱建皓、許家禎(2004)。立即內視鏡手術修補腦脊髓液鼻漏併發腦膿瘍--病例報告。  延伸查詢new window
4.李錦虹、詹佳眞、羅昭瑛(2003)。女性憂鬱患者性別角色之內在經驗。  延伸查詢new window
5.周幸生、程仁慧(2002)。自我感受--自我概念型態。  延伸查詢new window
6.紀碧芬、陳清貴(2009)。照護一位缺血性腦中風病患的護理經驗。  延伸查詢new window
7.陳慧玲、賴明美(2003)。腦中風。  延伸查詢new window
8.陳惠滿、鍾家媛(2008)。—位左膝上截肢患者的護理經驗。  延伸查詢new window
 
 
 
 
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