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題名:照護一位妊娠婦女下肢骨折之護理經驗
書刊名:長庚護理
作者:王紫藺黃美園王玉真
作者(外文):Wang, Tzu-linHuang, Mei-yuanWang, Yu-jen
出版日期:2015
卷期:26:3=91
頁次:頁358-369
主題關鍵詞:妊娠婦女下肢骨折孕期用藥焦慮Pregnant womenLower extremity fractureDrugs in pregnancyAnxiety
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(1) 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:1
  • 共同引用共同引用:0
  • 點閱點閱:52
本文為描述一位妊娠第二期婦女下肢骨折,入院開刀與用藥引發焦慮感的護理經驗,照護期間自2012年11月27日至12月7日。以羅氏適應模式為架構,藉由觀察、會談及身體評估收集資料,確立「急性疼痛」、「身體活動功能障礙」與「焦慮」之護理問題。照護措施包含詳細說明其使用藥物的作用、副作用與安全性,並衛教抬高患肢、聆聽喜愛的音樂、學習放鬆技巧、腹式呼吸與冥想等方式,有效緩解急性疼痛與焦慮。同時,協助個案執行復健運動以增強肌力與關節活動度,用以恢復身體原有的活動功能。期望此護理經驗能提供未來照護類似個案之參考。
This article described the nursing experience of a pregnant woman with lower extremity fracture and anxiety caused by inpatient surgery and drugs use in the second-trimester of pregnancy. The nursing period was from November 27 to December 7, 2012. The Roy's adaptation model was applied to collect data through observations, interviews, and physical examinations. The nursing problems were identified as follows: acute pain, impaired physical mobility, and anxiety. The nursing interventions included a detailed explanation of drug effects, side effects and safety, educating this patient to elevate the fracture extremity, to listen to favorite music, learn relaxation techniques, abdominal breathing, and meditation. The intervention effectively improved acute pain and anxiety. Additionally, we helped this patient to perform rehabilitation exercise to enhance muscle strength and range of motion, so that she could recover her physical mobility. This nursing experience provides information for nurses when caring pregnant women with the similar situations.
期刊論文
1.何菊修、陳宗鷹(2005)。急性術後疼痛。慈濟醫學,17(6),43-50。  延伸查詢new window
2.賴霈蓉、蕭碧芬、黃珊、林雪莉、梁蕙芳、林叔蔓(20100900)。提昇護理人員對下肢骨折病人術後復健護理指導之認知。長庚護理,21(3)=71,335-344。new window  延伸查詢new window
3.顏兆熊(20030800)。懷孕期間之用藥。當代醫學,30(8)=358,652-659。  延伸查詢new window
4.Ahmad, M. A.、Kuhanendran, D.、Kamande, I. W.、Charalambides, C.(2008)。Accelerated tibial fracture union in the third trimester of pregnancy: A case report。Journal of Medical Case Reports,2,4。  new window
5.Babb, M.、Koren, G.、Einarson, A.(2010)。Treating pain during pregnancy。Canadian Family Physician,56,25-27。  new window
6.Calumet, K.(2013)。Pregnancy, stress, & three techniques。International Journal of Childbirth Education,28(3),96-98。  new window
7.Cohen-Kerem, R.、Railton, C.、Oren, D.、Lishner, M.、Koren, G.(2005)。Pregnancy outcome following non-obstetric surgical intervention。American Journal of Surgery,190(3),467-473。  new window
8.Cole, L. C.、LoBiondo-Wood, G.(2014)。Music as an adjuvant therapy in control of pain and symptoms in hospitalized adults: A systematic review。Pain Management Nursing,15(1),406-425。  new window
9.Forsberg, A.、Söderberg, S.、Engström, A.(2014)。People's experiences of suffering a lower limb fracture and undergoing surgery。Journal of Clinical Nursing,23(1/2),191-200。  new window
10.Helmrich, S.、Yates, P.、Nash, R.、Hobman, A.、Poulton, V.、Berggren, L.(2001)。Factors influencing nurses' decisions to use non-pharmacological therapies to manage patients' pain。The Australian Journal of Advanced Nursing,19(1),27-35。  new window
11.Henderson, E.、Mackillop, L.(2011)。Prescribing in pregnancy and during breast feeding: Using principles in clinical practice。Postgraduate Medical Journal,87,349-354。  new window
12.Kennedy, D.(2011)。Analgesics and pain relief in pregnancy and breastfeeding。Australian Prescriber,34,8-10。  new window
13.Nordeng, H.、Ystrøm, E.、Einarson, A.(2010)。Perception of risk regarding the use of medications and other exposures during pregnancy。European Journal of Clinical Pharmacology,66,207-214。  new window
14.Nordeng, H.、Hansen, C.、Garthus-Niegel, S.、Eberhard-Gran, M.(2012)。Fear of childbirth, mental health, and medication use during pregnancy。Archives of Women's Mental Health,15,203-209。  new window
15.Reitman, E.、Flood, P.(2011)。Anaesthetic considerations for non-obstetric surgery during pregnancy。British Journal of Anaesthesia,107(S1),i72-i78。  new window
16.Sorbi, F.、Sisti, G.、Di Tommaso, M.、Fambrini, M.(2013)。Traumatic tibia and fibula fracture in a 36 weeks' pregnant patient: A case report。The Ochsner Journal,13(4),547-549。  new window
17.Strauss, E. J.、Petrucelli, G.、Bong, M.、Koval, K. J.、Egol, K. A.(2006)。Blisters associated with lower-extremity fracture: Results of a prospective treatment protocol。Journal of Orthopaedic Trauma,20(9),618-620。  new window
18.Vaajoki, A.、Pietilä, A. M.、Kankkunen, P.、Vehviläinen-Julkunen, K.(2011)。Effects of listening to music on pain intensity and pain distress after surgery: An intervention。Journal of Clinical Nursing,21,708-717。  new window
19.Wong, E. M. L.、Chan, S. W. C.、Chair, S. Y.(2010)。The effect of educational intervention on pain beliefs and postoperative pain relief among Chinese patients with fractured limbs。Journal of Clinical Nursing,19,2652-2655。  new window
20.Sedlmeier, Peter、Eberth, Juliane、Schwarz, Marcus、Zimmermann, Doreen、Haarig, Frederik、Jaeger, Sonja、Kunze, Sonja(2012)。The Psychological Effects of Meditation: A Meta-Analysis。Psychological Bulletin,138(6),1139-1171。  new window
圖書
1.陳世銘(2002)。骨科疾病物理治療學。台北市:華騰。  延伸查詢new window
2.Danis, D. M.、Blansfield, J. S.、Gervasini, A. A.、王雪霞、邱文心、張玲華(2011)。臨床創傷照護手冊。台北市:台灣愛思唯爾。  延伸查詢new window
3.Kisner, C.、Colby, L. A.、徐中盈、簡盟月、陳韻茹、洪承綱、趙遠宏、陳慈安(2009)。運動治療學:理論基礎與實作技巧。台北市:合記。  延伸查詢new window
4.Salter, R. B.、楊榮森(2002)。骨骼肌肉系統疾病與創傷。台北市:合記。  延伸查詢new window
5.Smeltzer, S. C.、Bare, B. G.、李小菁、李鳳屏、余秀玲、陳美戎、黃秀梨、黃敏鳳、邱怡玟(2006)。布氏內外科護理學。台北市:藝軒。  延伸查詢new window
圖書論文
1.柯淑華(2011)。高危險孕婦的護理。實用產科護理。台北市:華杏。  延伸查詢new window
2.袁素娟(2010)。肌肉骨骼系統疾病之護理。成人內外科護理。台北市:華杏。  延伸查詢new window
3.潘信良、賴金鑫(2013)。骨折後之復健。復健及物理醫學。台北市:合記。  延伸查詢new window
 
 
 
 
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