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題名:照護先天複雜性心臟病個案之加護護理經驗
書刊名:榮總護理
作者:賴宥言
作者(外文):Lai, Yu-yen
出版日期:2012
卷期:29:1
頁次:頁87-94
主題關鍵詞:先天複雜性心臟病主要照顧者壓力調適Caring theoryCongenital heart diseasePressure adjustment of the caregiver
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(2) 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:2
  • 共同引用共同引用:20
  • 點閱點閱:2
本篇個案報告旨在描述一位二個月大,確診合併心房中膈缺損、開放性動脈導管、主動脈狹窄及主動脈瓣窄縮之先天複雜性心臟病個案及其主要照顧者的護理經驗。護理期間自98年10月8日至12月8日藉由整體性評估、觀察、參與照護及傾聽會談收集病史,確立個案健康問題有:心輸出入量不足、潛在危險性感染;主要照顧者健康問題有:潛在危險性照顧者與嬰兒依附關係障礙、照顧者角色緊張。筆者以關懷照護為護理過程指引,評估個案及案母身、心及社會層面的需要,提供身體舒適,協助案父母了解及參與個案的治療計畫,強化親子依附關係,學會照顧知能,返家後能獨立且有信心照顧個案。期望藉此照護經驗的分享,讓護理人員除了照護個案,同時能顧及家屬身、心、社會及靈性層面之需要,達到全人全家的照護目標。
This article describes the nursing treatment experience by using Watson theory in the care of a two-month-old baby from 8th October to 10th December 2009. The baby suffered from congenital heart disease with atrial septal defect, patent ductus arteriosus, and aortic stenosis. The author based the caring process after taking the infant's history through assessment, observation, listening, and conversion. The infant in the ICU had the following major health problems: decreased cardiac output, and risk for infection. The caregiver had the following problems: risk for impaired parentinfant attachment and caregiver role strain. Watson theory was used as a guideline to assess the body needs, the mental and social aspect of the infant and the mother, thus providing the body comfort, and helping the parents to understand the treatment plan; also encourage participating in the care, establishing a relationship between parents and the infant. These strengthened the adaptation skill and learned the way to take care of a congenital heart disease infant. After returning home, parents could independently look after their baby with confidence. By sharing this nursing experience, I hope to encourage nursing staff not only to care for the baby, but also the needs of family on the body, the mental, the social, and the spiritual levels in order to reach the goal of caring for the whole family.
期刊論文
1.王美文、黃珊(20040900)。一位開心手術患孩母親的壓力源及因應行為。長庚護理,15(3)=47,350-358。new window  延伸查詢new window
2.許國正(20051200)。先天性心臟病患童父母於開心手術前後需求之探討。慈濟護理雜誌,4(4),40-49。  延伸查詢new window
3.蘇婉麗、金繼春(20040300)。母親獲得照顧先天性心臟病孩之知能的過程。榮總護理,21(1),21-34。new window  延伸查詢new window
4.楊曉玲、陳月枝、毛新春、高碧霞、王主科(20040100)。Effect of a Systematic Discharge Nursing Plan on Mothers' Knowledge and Confidence in Caring for Infants with Congenital Heart Disease at Home。臺灣醫學會雜誌,103(1),47-52。  延伸查詢new window
5.陳曉琦、周汎澔(20100600)。Watson人性化關懷照護理論與Swanson關懷照護理論之比較。護理雜誌,57(3),86-92。new window  延伸查詢new window
研究報告
1.內政部(2012)。內政統計通報。  延伸查詢new window
其他
1.高雄榮民總醫院心臟血管外科(2009)。先天性心臟病,http://www.vghks.gov.tw/cvs/new/services/CHD/CHD%20htm.htm。  延伸查詢new window
圖書論文
1.黃碧桃(2005)。心臟之重症與處理。兒科基礎重症醫學。台北:力大。  延伸查詢new window
 
 
 
 
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