Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/27215
Title: 照顧一位初次腦中風病患接受血栓溶解劑治療及處置併發症的護理經驗
English Title: The Nursing Experience of Caring for a Stroke Patient with Thrombolytic Therapy
Contributor(s): Tsai, Hui-Ju (author); Chuang, Yeu-Hui (author); Wang, Shou-Yu  (author)orcid ; Huang, Yu-Ping (author); Su, Shu-Fen (author)
Publication Date: 2014-12
Handle Link: https://hdl.handle.net/1959.11/27215
Abstract: 本文描述一位78歲初次罹患缺血性腦中風的病患,使用血栓溶解劑治療及產生併發症的照護經驗。筆者於加護病房以神經內科專科護理師的角色照顧此病患,照護期間於2011 年10月13 日至10 月26 日,經由詳細病史詢問、理學檢査及整體性的照護評估,發現個案主要的健康問題包含右側肢體乏力合併失語症、輕度腦水腫合併出血性轉化及吸人性肺炎,爲避免其臨床症狀持續惡化,設定三大照護目標包含減少併發症產生、避免腦出血惡化、及控制感染。筆者在加護病房照護過程中透過對健康問題的分析、評估及處置,依三大目標給予病患積極的治療及照護,使併發症可以儘早獲得控制及改善,後續並與病患及家屬建立良好的互動關係,主動給予正向的支持及關懷,教導家屬正確的照護技巧,給予病患心理上的鼓勵,以增加復健治療的動力。希望藉此照護經驗的分享,期能提供相關護理人員在日後臨床照護之參考。
Publication Type: Journal Article
Source of Publication: 領導護理, 15(4), p. 49-59
Publisher: 財團法人聯新文教基金會 [Caituan Faren Lianxin Wenjiao Jijinhui]
Place of Publication: Taiwan
ISSN: 1560-6619
Fields of Research (FoR) 2008: 111003 Clinical Nursing: Secondary (Acute Care)
Fields of Research (FoR) 2020: 420501 Acute care
Socio-Economic Objective (SEO) 2008: 920210 Nursing
Socio-Economic Objective (SEO) 2020: 200307 Nursing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Publisher/associated links: http://www.airitilibrary.com/Publication/alDetailedMesh?DocID=15606619-201412-201501270032-201501270032-49-59
English Abstract: This article describes the nursing experience of caring for a 78-year-old stroke patient who suffered from complications secondary to thrombolytic therapy. As a neurological nurse practitioner, the author took care of this patient in the ICU from October 13 to 26, 2011. After conducting a detailed medical history review and an integrative physical examination and assessment, the author identified the following major health problems: right hemiparesis, aphasia, mild brain edema due to hemorrhagic transformation, and aspiration pneumonia. To prevent continuous clinical deterioration, the author established three care goals: reduction of complications, prevention of deterioration secondary to brain hemorrhage, and infection control. The author provided attentive care and treatment. Establishing a good therapeutic relationship with the patient and her family, the author offered positive support and patient education regarding the proper care techniques. The author encouraged the patient and enhanced his motivation for rehabilitation therapy. The author hopes that this article can serve as a clinical care reference for other nurses taking care of similar cases in the future.
Appears in Collections:Journal Article
School of Health

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