[护士为一名患有科恩综合征的幼儿的母亲提供护理的经验,该幼儿面临气管造口术决策冲突,使用Watson的护理理论]。

Q3 Nursing
Ya-Han Lin, Chia-Hui Chien, Shu-Ru Uen, Shao-Yu Tsai
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引用次数: 0

摘要

该病例涉及一名患有科恩综合征和脑瘫的17个月大的幼儿,自出生以来,他经历了多次住院和手术。住院期间,患者出现气管软化、吞咽和咳嗽能力差,经历了两次心肺复苏事件,之后建议进行气管切开术。关于气管切开术的决策给这位母亲带来了巨大的压力,她面临着儿子危及生命的疾病和护理负担。在2022年9月19日至12月6日的护理期间,作者将主要护理问题确定为“决策冲突:与气管切开术相关的决策”,并将护理过程分为(1)逃避期、(2)冲突期和(3)决策后的应对期。作者将Watson关爱理论中的十个因素作为其关爱方法的核心,通过倾听、一致性和同理心,与母亲建立了相互信任的关系,并理解了母亲的需求。这包括提供足够的信息和举行家庭会议以促进沟通,并结合姑息医疗资源提供后续护理支持,以及帮助家庭找到生活的意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A Nurse's Experience Providing Care to a Mother of a Toddler With Cohen's Syndrome Facing Tracheostomy Decision-Making Conflict Using Watson's Caring Theory].

This case involved a 17-month-old toddler with Cohen's syndrome and cerebral palsy who had experienced multiple hospitalizations and operations since birth. During hospitalization, the patient suffered from tracheomalacia and poor swallowing and coughing abilities and had experienced two cardiopulmonary resuscitation events, after which a tracheotomy was suggested. Decision-making regarding the tracheotomy placed the mother under tremendous pressure, who was facing both the life-threatening disease of her son and her burden of care. During the nursing care period from 19th September to 6th December 2022, the author identified the main nursing problem as "decision-conflict: decision-making in relation to tracheotomy procedure" and distinguished the nursing process into (1) escape period, (2) conflict period, and (3) coping period after decision-making. Adopting the ten carative factors in Watson's Caring Theory as the core of her care approach, the author was able to establish a mutually trusting relationship with the mother and to understand her needs by means of listening, consistency, and empathy. This involved providing sufficient information and holding family meetings to facilitate communication in combination with palliative medical resources to provide follow-up care support as well as helping the family find meaning in their lives.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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