一位脊髓损伤致压疮病患之护理经验——压疮病患之护理经验

Nursing Experience for a Spinal Cord Injury Patient with Pressure Ulcer—Nursing Experience for a Pressure Ulcer Patient

摘要:

脊髓损伤对个人及家庭而言，常造成剧烈的影响及伤害，而延伸出之后遗症，如压疮，也可能因伤口感染威胁生命。笔者是以高登11项功能性健康型态评估为工具，照护一位脊髓损伤致压疮的病患，护理期间自2008年8月5日至9月13日，藉由观察、会谈等方式收集数据，发现个案有皮肤完整性受损、营养少于身体所需、无望感等多方面身心问题。在护理过程中，除维持基本需求的满足及给予心理支持，并加强其支持系统，以期增强个案面对病情的信心及生存的价值，进而提升个案之生活质量。

Abstract: Spinal cord injury not only will influence violently to subjects and family, but the complication such as pressure ulcer will infect the wound and threaten the life. This article described a nursing experience for a spinal cord injury patient with pressure ulcer. The duration of nursing care was between August 5, 2008 and September 13, 2008. The methods of data collection included observation and personal interview. Based on Gordon’s functional health assessment, the case’s health problems included: 1) the lesion of skin integrity; 2) the nutrition intake less than body’s demand; 3) hopelessness. During the nursing process, in addition to satisfy the basic demand and psychologic support, the researcher also enhance the case’s support system to encourage the case’s confidence of disease and value of life and then increase the quality of life.