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題名:一位羊水栓塞重症末期產婦之緩和臨終照護經驗
書刊名:榮總護理
作者:陳佩玉陳雅惠蔡寶純林蓮馨
作者(外文):Chen, Pei-yuChen, Ya-hueiTsai, Bao-chuemLin, Lian-shin
出版日期:2018
卷期:35:3
頁次:頁245-252
主題關鍵詞:羊水栓塞臨終護理加護護理Amniotic fluid embolismTerminal careIntensive care
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(0) 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:0
  • 共同引用共同引用:25
  • 點閱點閱:11
本文是探討一位經產婦於生產時發生羊水栓塞,經急救後入住加護病房緩和照護經驗。護理期間自2017年3月16日至2017年4月10日,運用Gordon十一項功能性健康型態做整體性護理評估,護理過程中藉由直接照護、觀察、傾聽、關懷、身體評估及查閱病歷等方式收集資料,發覺個案有自我照顧能力缺失、家屬抉擇衝突、預期性哀傷等主要護理問題。護理期間提供病人舒適護理,顧及病人隱私與尊嚴,引導家屬思考個案生前對罹患不可逆疾病時的心願,協助家屬四道人生以調適將失去親人的傷痛,個案最後得以尊嚴往生。故建議加護病房的醫療人員皆應接受安寧緩和之專業訓練,才能提升末期重症病人之照護品質。
This article details the nursing experience of palliative care for a terminal patient in the intensive care unit (ICU), which resulted in a dignified death. A multigravida experienced amniotic fluid embolism during delivery and was admitted to the ICU after emergency treatment. However, hypoxic encephalopathy complications occurred, after which palliative care was provided. The woman ultimately had a dignified death. Care was provided from March 16 to April 10, 2017. Gordon's eleven functional health patterns were utilized as a guide for evaluations. Data were collected through direct care, observations, listening, caring, and physical examination as well as from medical records. Major nursing issues such as self-care deficit, family decision conflicts, and anticipatory grief were all observed in this case. Therefore, comfort nursing care was offered to assist the patient maintain basic physical demands, protect privacy, and ensure dignity. A strong patient-nurse relationship was also established. In this article, the concepts of palliative care in critical terminal care are introduced.
期刊論文
1.翁益強(20120900)。對急重症病人生命末期之照護。榮總護理,29(3),220-224。new window  延伸查詢new window
2.吳曉聞、李玉嬋(20160200)。家人罹癌對家屬造成衝擊與預期性悲傷。諮商與輔導,362,57-62+20。  延伸查詢new window
3.吳尚恩(20120700)。Recombinant activated factor VII (rFVII)用於羊水栓塞引起之瀰漫性血管內凝血異常:案例報告及實證醫學探討。當代醫學,39(7)=465,546-551。  延伸查詢new window
4.李怡濃、許瀚仁、康豑云(20160600)。提升重症末期病人善終準備達成率。源遠護理,10(2),48-53。  延伸查詢new window
5.邱佳音、黃冠升、黃菁萱、黃欣怡、徐南麗、王美惠(20140600)。加護病房家屬需求探討。健康與建築雜誌,1(3),60-67。new window  延伸查詢new window
6.張麗卿(20161200)。病人自主權利法--善終的抉擇。東海大學法學研究,50,1-47。new window  延伸查詢new window
7.鄒忠宗、潘至信、孫家棟(2013)。司法解剖確認之羊水栓塞案例分析。台灣法醫學誌,5(1),14-27。  延伸查詢new window
8.Davidson, J. E.、Powers, K.、Hedayat, K. M.、Tieszen, M.、Kon, A. A.、Shepard, E.、Ghandi, R.(2007)。Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American college of critical care medicine task force 2004-2005。Critical care Medicine,35(2),605-622。  new window
9.Kobayashi, H.、Akasaka, J.、Naruse, K.、Sado, T.、Tsunemi, T.、Niiro, E.、Iwai, K.(2017)。Comparison of the different definition criteria for the diagnosis of amniotic fluid embolism。Journal of Clinical and Diagnostic Research,11(7),18-21。  new window
10.Uszyński, W.、Uszyński, M.(2014)。Amniotic fluid embolism(AFE): A review of the literature orientated on two clinical presentations-typical and atypical。Open Journal of Obstetrics and Gynecology,4,54-60。  new window
圖書
1.趙可式(2014)。照護基本功。臺北市:華杏。  延伸查詢new window
圖書論文
1.方宜珊、高湘寧(2015)。羊水栓塞。圖解產科護理學。台北市:五南。  延伸查詢new window
 
 
 
 
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