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題名:海洋弧菌感染併發壞死性筋膜炎患者的照護經驗
書刊名:榮總護理
作者:李瓊芬陳素燕
作者(外文):Li, Chiung-fenChen, Su-yen
出版日期:2016
卷期:33:1
頁次:頁60-66
主題關鍵詞:海洋弧菌壞死性筋膜炎Vibrio vulnificusNecrotizing fasciitis
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:23
  • 點閱點閱:65
本文是描述一位傷口遭海洋弧菌感染致壞死性筋膜炎個案之照護經驗,筆者以羅氏適應模式評估,發現個案有現存性感染、疼痛及無望感等問題。照護初期優先處理傷口感染及疼痛問題,除提供個案傷口照護、預防感染措施及疼痛緩解技巧外,並以同理心傾聽其表達內心感受,協助了解目前身體狀況以增加控制感,終使個案感染得以控制促進傷口癒合,並讓個案的疼痛減輕渡過無望感的危機,期望透過此護理經驗提供同仁日後照護參考。
This article describes the nursing experience of a patient wounded and infected with vibrio vulnifi cus, which led to necrotizing fasciitis. By using Roy's adaptation model, the major problems were identifi ed as existing infection, pain, and hopelessness. Early care prioritizes wound infection and pain; in addition to wound care for the patient, infection prevention measures and guidance for pain relief techniques were provided. Furthermore, we listened to the patient with empathy and helped the patient to understand the current body conditions to increase the patient's sense of control. Eventually, the infection was controlled, wound healing was improved, and the patient's pain was alleviated, enabling the patient to overcome the feeling of hopelessness.
期刊論文
1.蘇清菁、陳玉敏(20091200)。無望感之概念分析。長庚護理,20(4)=68,456-462。new window  延伸查詢new window
2.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
3.王昱嵐、蔡金來、潘志信、張瑞炘、江春雪、吳和生(2009)。傳染病解剖檢驗報告--創傷弧菌感染案例。疫情報導,25(5),302-312。  延伸查詢new window
4.劉金珍、林虹良(20120800)。感染海洋弧菌的危險因子與相關護理。高雄護理雜誌,29(2),40-48。  延伸查詢new window
5.Chang, C. W.、Chen, C.、Wu, H. H.(2008)。Necrotizing fasciitis。Journal of Medical Sciences,28(4),175-178。  new window
6.Cheung, J. P.、Fung, B.、Tang, W. M.、Ip, W. Y.(2009)。A review of necrotizing fasciitis in the extremities。Hong Kong Medicine,15,44-52。  new window
7.Ruth-Sahd, L.、Gonzales, M.(2006)。Multiple dimensions of caring for a patient with acute necrotizing asciitis。Dimensions of Critical Care Nursing,25(1),15-21。  new window
圖書
1.陳偉鵬、郭碧照、謝惠玲、葉淑惠、胡順江、袁素娟、翁碩駿(2011)。臨床症狀護理。台北:華杏。  延伸查詢new window
2.McFarland, G. K.、McFarlane, E. A.、周幸生(2009)。新臨床護理診斷。台北:華杏。  延伸查詢new window
其他
1.Centers for Disease Control and Prevention(2013)。Vibrio vulnificus,http://www.cdc.gov/vibrio/vibriov.html。  new window
圖書論文
1.Hopf, H. W.、Sbapsbak, D.、Junkins, S.(2012)。Managing wound pain。Acute & chronic wound: Current management concepts。Philadeiphia:Elsevier。  new window
 
 
 
 
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