照顧ㄧ位顱內出血病患術後於加護病房之護理經驗

Please use this identifier to cite or link to this item: https://dyhuir.dyhu.edu.tw/ir/handle/987654321/560

Title:	照顧ㄧ位顱內出血病患術後於加護病房之護理經驗
Authors:	陳淑君;郭小菁
Keywords:	顱內出血;顱內壓;腦灌注壓;intracranial hemorrhage;intracranial cerebral pressure;cerebral perfusion pressure
Date:	2009
Issue Date:	2011-12-28T04:05:45Z
Abstract:	本篇是敘述一位65歲男性病患因高血壓引起自發性顱內出血，手術後至加護病房之護理經驗，筆者護理期間自98年1月12日至98年1月16日，運用Gordon十一項健康功能型態為評估架構，以觀察、身體評估、家屬會談等方式收集資料，確定病患健康問題包括:組織灌流改變/腦部、呼吸道清除功能失效、潛在危險性感染及潛在危險性肺吸入。並提供正確且合宜的個別性護理措施，預防顱內壓上升及維持適當的腦灌注壓，達成設定之護理目標，於個案轉出加護病房後刪除「組織灌流改變/腦部此健康問題」。筆者藉由此篇文章分享照護顱內出血病患在加護病房的護理重點，期許能提供護理同仁日後照護此類病患的參考。This case report described the nursing experience of caring a 65-years male patient with intracranial hemorrhage (ICH) post craniotomy in an ICU. Between 2009/1/12 to 2009/1/16, the authors physical performed the assessments of health problems by the Gordon model, through observation, assessment, and interview with family. Four patient's health problems were identified: tissue perfusion altered/brain, airway clearance ineffectiveness, potentially hazardous infection, and aspiration risk. The authors provided accurate, adequate, and individualized nursing intervention to prevent increased intracranial cerebral pressure (IICP) and able to maintain proper cerebral perfusion. The experience will assistant nursing staffs to care patient with ICH or IICP.
Relation:	2009健康產業科技與管理研討會會議日期:2009.05.13 主辦單位:經國管理暨健康學院研究發展處、台灣科技大學區域產學合作中心會議地點:國立台灣科技大學國際大樓海報發表
Appears in Collections:	[Institute of Health Industry Management ] Proceeding

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