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題名:照顧一位外籍勞工斷指重建失敗後截肢之護理經驗
書刊名:長庚護理
作者:洪締鵑黃盈菁
作者(外文):Hung, Ti-chuanHuang, Ying-ching
出版日期:2016
卷期:27:1=93
頁次:頁144-155
主題關鍵詞:截肢斷指重建無望感AmputationFinger reconstructionHopelessness
原始連結:連回原系統網址new window
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  • 共同引用共同引用:6
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本文描述一位外籍勞工因工作不慎斷指,面臨重建手術失敗而接受截肢之護理經驗。筆者於2012年11月24日至12月11日護理期間,運用Gordon十一項功能性健康評估為工具,藉由實際照護、觀察、會談、身體評估及病歷查閱等方式收集資料,確立主要護理問題為急性疼痛、組織完整性受損與無望感。筆者透過提供個別與整體性照護,藉由疼痛評估掌握疼痛程度,協助採取舒適臥位,提供深呼吸及轉移注意力,改善術後疼痛。每班觀察傷口感染徵象,依無菌技術予以傷口護理,指導案友接觸個案前後洗手,衛教攝取高蛋白飲食,促進傷口癒合。提供祈禱室運用宗教力量幫助其沉澱心情。以同理心態度建立良好護病關係,傾聽其抒發內心感受,介紹調適良好之病友,透過經驗分享引導其逐漸面對肢體失能的事實,並主動參與未來規劃。會診社工師運用相關社服資源,協同雇主、仲介與個案共同討論出院後因應策略,使其儘早學習自我照顧與適應生活。期望本護理經驗能提供面對意外造成截肢的外籍勞工,需結合相關社會資源,重視其創傷後的心理反應,及早回歸原有生活。
This paper described the nursing experience for a foreign worker who underwent amputation after the failed replantation of a severed finger that had been the result of carelessness in the work. The period of care extended from November 24 to December 11, 2012. Gordon’s 11 functional health patterns were used to collect data through practical care, observations, interviews, physical assessments, and medical record review. It was confirmed that the main nursing problems were acute pain, impaired tissue integrity, and hopelessness. In order to relieve postoperative pain, the author provided individualized holistic care, understood the degree of pain through pain assessment, helped the patient lie comfortably, and provided deep breathing and attention shifting techniques. The wound was observed during each shift to check for infection and wound care was performed using aseptic techniques. The friends of the patient were instructed to wash their hands before and after contact with the patient. Health education instructed the patient to maintain a high protein diet to promote wound healing. A prayer room was also provided to relax the patient. The author’s empathetic attitude helped establish a good nurse-patient relationship; this included listening to the patient’s feelings, introducing similar patients who adjusted well, and sharing experience to help guide the patient in facing the disability and making future plans. The author used social service resources to discuss post-discharge coping strategies with the employer, intermediary, and the patient to teach the patient self care techniques in order to adapt to life as early as possible. This nursing experience can help other foreign workers undergoing amputation as a result of an accident. Relevant personnel are suggested to integrate social resources and pay particular attention to their psychological reactions after such traumas so as to help them return to their original life as early as possible.
期刊論文
1.明金蓮、洪曉佩(20110500)。急性疼痛評估與症狀護理。源遠護理,5(1),11-16。  延伸查詢new window
2.蘇彥華、陳海焦(20111200)。照顧一位中年婦女面對初診斷肺癌衝擊之護理經驗。長庚科技學刊,15,91-101。  延伸查詢new window
3.王小燕、劉孟芬(20130600)。一位糖尿病患者接受截肢術後之護理經驗。長庚護理,24(2)=82,208-217。new window  延伸查詢new window
4.王芝芳、柯幸芳、陳婉宜(20110900)。照護一位下肢創傷後接受膝上截肢病人之護理經驗。長庚護理,22(3)=75,431-440。new window  延伸查詢new window
5.李佳燕、李彩緣、陳鈺如(20110900)。一位周邊動脈阻塞疾病截肢患者之照護經驗。中山醫學雜誌,22(3),319-327。  延伸查詢new window
6.巫美惠、王美惠、鄭秀容(20120900)。照顧一位機械損傷右上肢截肢手術病患之護理經驗。榮總護理,29(3),310-316。new window  延伸查詢new window
7.吳曉芸、伍碧琦(20111200)。照顧一位壞死性筋膜炎患者面對截肢後之護理經驗。長庚護理,22(4)=76,518-528。new window  延伸查詢new window
8.莊伊雯、宋雅雯、黃敏瑢(20130200)。協助一位周邊動脈阻塞病人接受截肢之護理經驗。志為護理,12(1),108-117。  延伸查詢new window
9.廖宏昌、林彥輝、鄭淑芳、李聯雄(20110300)。我國外籍勞工重大職業災害分析研究。勞工安全衛生研究季刊,19(1),20-42。new window  延伸查詢new window
10.鄭慶武、吳聰智(20130700)。外籍勞工作業安全分析。工業安全衛生月刊,289,57-81。  延伸查詢new window
11.Huang, D.、Wang, H. G.、Wu, W. Z.(2011)。Functional and aesthetic results of immediate reconstruction of traumatic thumb defects by toe-to-thumb transplantation。International Orthopaedics,35(3),543-547。  new window
12.Lam,W. L.、Wei, F. C.(2011)。Toe-to-Hand transplantation。Plastic Surgery,38(2),551-559。  new window
13.Khan, M. A. A.、Mohan, A.、Ahmed, W.、Rayatt, S.(2010)。Nursing Monitoring and Management of Free and Pedicled Flaps-Outcomes of Teaching Sessions on Flap Care。Plastic Surgical Nursing,30(4),213-216。  new window
14.Prucz, B. R.、Friendrich, J. B.(2014)。Upper Extremity Replantation: Current Concepts。Plastic and Reconstructive Surgery,133,333-342。  new window
研究報告
1.中華民國勞動部(201407)。勞動情勢統計要覽。  延伸查詢new window
2.衛生福利部(2014)。民國102年死因統計年報。  延伸查詢new window
其他
1.勞動部勞工保險局(2014)。法令規章,http://www.bli.gov.tw/sub.aspx?a=jHzs4sPhTvc%3d。  延伸查詢new window
 
 
 
 
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