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題名:照顧一位海洋弧菌感染併發壞死性筋膜炎個案之加護護理經驗
書刊名:榮總護理
作者:林怡萱
作者(外文):Lin, Yi-hsuan
出版日期:2012
卷期:29:1
頁次:頁95-103
主題關鍵詞:海洋弧菌壞死性筋膜炎加護護理Vibrio vulnificusNecrotizing fasciitisIntensive care
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(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:21
  • 點閱點閱:17
本文係描述一位51歲男性因感染海洋弧菌合併敗血性休克入院住加護病房之護理經驗。護理期間自2009年4月8日至18日共11日,護理過程運用Gordon十一項功能性健康型態評估,確立個案主要健康護理問題有:組織灌流改變、急性疼痛、皮膚完整性受損、焦慮等四項。護理過程中,經由建立治療性人際關係、提供個別性的整體護理,解決急性期的生理需求,增加個案對傷口的照護認知,與營養師訂定營養計畫以促進傷口癒合,並協助個案了解海洋弧菌感染合併壞死性筋膜炎病徵的相關知識,希望藉此照護經驗跟護理同仁分享。
This article describes the nursing care provided to a patient admitted to intensive care unit who had Vibrio vulnificus infection and septic shock. The data was collected from April 8 to 18, 2009. Based on Gordon eleven functional health patterns, we established four major health care issues: changes in tissue perfusion, acute pain, impaired tissue integrity, and anxiety. During the nursing process, the team used therapeutic interpersonal relationship procedure to provide individualized physical and mental nursing interventions and addressed the acute physical needs of the patient. The team provided further knowledge about Vibrio vulnificus infection with necrotizing fasciitis and ways to improve wound self-care ability. The team also discussed with nutritionists to plan a nutrition therapy for the patient in order to enhance wound healing. We hope the nursing experience from this patient may be helpful for caring patients with similar conditions in the future.
期刊論文
1.潘雪幸、張慕民、蕭存芳、張秉宜、吳品萱(20080900)。加護病房病人之壓力源及其護理。長庚護理,19(3)=63,353-359。new window  延伸查詢new window
2.張瑞燕(20061200)。一位顱內出血病患術後於加護病房之護理經驗。志為護理,5(6),123-132。  延伸查詢new window
3.邱愛珍、鍾嫈嫈、王柏川、蘇世強(20041200)。壞死性肌膜炎:病例報告及文獻回顧。臺灣家庭醫學雜誌,14(4),205-215。  延伸查詢new window
4.陳年慶、蔡燿鴻、曾士賓、林資凱、吳佳聖(20080300)。探討我國沿海致命的職業病--海洋霍亂弧菌所引發的猛爆性壞死性筋膜炎及敗血症之治療分析。中華職業醫學雜誌,15(2),131-138。  延伸查詢new window
5.陳金玫(20081200)。糖尿病骨折術後合併壞死性筋膜炎之照護經驗。嘉基護理,8(2),36-47。  延伸查詢new window
6.黃奕彰、顏忠民、許國忠、劉文信(20060100)。夏日的海洋殺手--論創傷弧菌。基層醫學,21(1),8-11。  延伸查詢new window
7.謝燕萍(2008)。創傷性海洋弧菌介紹及治療。輔英醫訊,59,10。  延伸查詢new window
8.Edwards, S.(2004)。Acute compartment syndrome。Emergency Nurse,12(3),32-38。  new window
9.Gürlek, A.、Fırat, C.、Öztürk, A. E.、Alaybeyoğlu, N.、Fariz, A.、Aslan, S.(2007)。Management of necrotizing fasciitis in diabetic patients。Journal of Diabetes and its Complications,21(4),265-271。  new window
10.Kane, F. M.、Brodie, E. E.、Coull, A.、Coyne, L.、Howd, A.、Milne, A.(2004)。The analgesic effect of odour and music upon dressing change。British Journal of Nursing,13(19),S4-S12。  new window
11.Riordan, S. M.、Williams, R.(2010)。Gut flora and hepatic encephalopathy in patients with cirrhosis。The New England Journal of Medicine,362(12),1140-1142。  new window
12.靳燕芬(20070600)。傷口換藥疼痛護理。護理雜誌,54(3),87-91。new window  延伸查詢new window
圖書
1.廖幼婕(2006)。傷口照護。臺北:五南。  延伸查詢new window
圖書論文
1.黃煜為(2008)。戰勝敗血症準則。實用外科重症臨床指引。台北:時新。  延伸查詢new window
 
 
 
 
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