一位頸部脊椎神經損傷患者之護理經驗

During the care of a patient with a cervical spinal cord injury, we use a holistic approach to assess health status and establish care issues, which were (a) risk for infection treated with catheter, (b) risk for impaired skin integrity treated with reduced activity, (c) lack of knowledge about neck collar use for which the patient received / lack information, (d) impaired physical mobility caused by neural and muscle injury and (e) falls causedbilateral leg muscle power loss. After treatment and rehabilitation, the patient's physical activity gradually recovered function and his limb muscles regained strength. He has gradually become able to get out of bed and perform some his daily life activities and self-care. He was transferred to chronic word to continue rehabilitation. In addition to providing appropriate nursing care, we developed a good nurse-patient relationship and a good relationship with the family. This helped the patient face the disease symptoms of discomfort.
本文描述一位頸部脊髓損傷患者之護理經驗。照護期間以觀察、會談、身體評估等方式進行整體性評估，確立護理問題有：（一）、潛在危險性國染／與侵入性治療有關：導尿管存；（二）、潛在皮膚完變性受損／與活動量減少有關；（三）、知識缺失：頸圈使用／與缺乏資訊來源有關；（四）、身體活動功能障礙／與神經肌肉損傷有關；（五）、潛在危險性創傷：跌倒／與下肢肌力減弱有關。個案經治療及復健後，身體活動功能及四肢肌力逐漸恢復，己能漸進下床活動並完成部分日常生活的自我照顧，後轉往慢性病房持續做復健治療。照護期間給予適當之護理措施，並與個案及家屬建立良好護病關係，協助患者面對疾病症狀不適。籍此分享並提供照護經驗。