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題名:運用Mishel不確定感理論照顧一位膝下截肢患者之護理經驗
書刊名:長庚護理
作者:劉棻田思亭劉雪娥
作者(外文):Liu, FenTien, Ssu-tingLiu, Hsueh-erh
出版日期:2011
卷期:22:2=74
頁次:頁276-287
主題關鍵詞:截肢截肢病患不確定感AmputationAmputeeUncertainty
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 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:5
  • 共同引用共同引用:4
  • 點閱點閱:52
截肢後,病患在身體、心理及社會層面上遭遇到很大的衝擊,同時也需要面對未來不可預知的挑戰,容易產生不確定感。本文的目的是描述照顧一位膝下截肢病患出現不確定感之護理經驗。照顧期間,筆者深入了解病患的感受,並運用Mishel不確定感理論,評估到個案對日後生活功能的恢復有不可預測感,對義肢的相關訊息感到模糊與缺乏,以及不確定是否能維持家庭功能正常運作。因此確立個案有不確定感之護理問題。在護理過程中運用教導自我照顧技巧、提供復健及義肢相關資訊、介紹成功個案、鼓勵家人雙向溝通及參與照顧活動、給予正向支持及訂立合理的期望等措施,以減輕其焦慮及不確定感,進而協助病患早日達到適應狀態。
Amputation causes physical, psychological, and social disturbances of an amputee’s life. At the same time, amputees need to face unpredictable challenges in the future; therefore, uncertainty is easy to be produced. The purpose of this article was to describe the nursing experience of helping a lower extremity amputee with the feeling of uncertainty. By understanding feelings of the patient and applying the Mishel’s Uncertainty Theory during the nursing period, the authors found that the patient thought the recovery of functional level of daily activities was unpredictable, the information about rehabilitation and prosthesis was vague and deficient, and the maintenance of normal family function was indefinite. The nursing problem of uncertainty was established. During the nursing period, we taught self-care skills, provided information about rehabilitation and prosthesis, introduced the successful case, encouraged two-way communication between family members and participated care activities, set reasonable expectations, and offered positive support to the patient. These strategies helped the patient reduce the feelings of anxiety and uncertainty and achieve the adaptive status as soon as possible.
期刊論文
1.Yetzer, E. A.(1996)。Helping the patient through the experience of an amputation。Orthopaedic Nursing,15(6),45-50。  new window
2.賴慧倫、林淑媛、葉淑惠(20071200)。肝癌患者不確定感、生活品質及其相關因素之探討。護理雜誌,54(6),41-52。new window  延伸查詢new window
3.陳佩芸、林雅純、吳純儀(20070500)。運用Mishel疾病不確定感理論照護一位腦血管意外個案之經驗。高雄護理雜誌,24(1),50-59。  延伸查詢new window
4.Mishel, M. H.(1988)。Uncertainty in illness。Image: The Journal of Nursing Scholarship,20(4),225-232。  new window
5.Mishel, M. H.、Braden, C. J.(1988)。Finding meaning: Antecedents of uncertainty in illness。Nursing Research,37(2),98-103+127。  new window
其他
1.行政院衛生署(20091104)。97年度全民健康保險醫療統計年報。  延伸查詢new window
2.黃資森、劉嘉恩(2009)。—位糖尿病病足截肢患者之護理經驗。  延伸查詢new window
3.楊哲魁、林銘川、陳思遠、藍青、賴金鑫、連倚南(2004)。下肢截肢患者的長期義肢使用與功能追蹤。  延伸查詢new window
4.廖素詩、羅琦(2006)。應用不確定感理論照顧一位初患心肌梗塞病人。  延伸查詢new window
5.鍾艾倫、孫秀卿、林芷羽(2009)。運用不確定感理論協助一位首次上腸胃道出血之類血友病人其家屬之照護經驗。  延伸查詢new window
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7.Dite, W., Connor, H. J., & Curtis, H. C(2007)。Clinical identification of multiple fall risk early after unilateral transtibial amputation。  new window
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11.Mosaku, K, S., Akinyoola, A. L., Fatoye, F, O., & Adegbehingbe, O. O.(2009)。Psychological reactions to amputation in a sample of Nigerian amputees。  new window
12.National Limb Loss Information Center(2008)。Statistic and epidemiology: Limb loss in the United States.。  new window
13.Oaksford, K., Cuddihy, R., & Frude, N(2005)。Positive coping and stress-related psychological growth following lower limb amputation。  new window
14.Phelps, L. F., Williams, R. M., Raichle, K. A., Turner, A. P., & Ehde, D. M.(2008)。The importance of cognitive processing to adjustment in the 1st year following amputation。  new window
15.Richardson, C.(2008)。Nursing aspects of phantom limb pain following amputation。  new window
16.Schoppen, T., Boonstra, A., Groothoff, J, W., Vries, J. D., Goeken, L. N., & Eisma, W. H.(2003)。Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees。  new window
17.Singh, R., Ripley, D., Pentland, B., Todd, I., Hunter, J., Hutton, L., et al.(2009)。Depression and anxiety symptoms after lower limb amputation: The rise and fall。  new window
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19.Wong, M. W. N.(2005)。Changing dynamics in lower-extremity amputation in China。  new window
 
 
 
 
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