Cook N F, Melby V
University of Ulster, Coleraine, Northern Ireland.
Br J Nurs. 1999;8(3):150-2, 154, 156-8. doi: 10.12968/bjon.1999.8.3.6701.
This article uses a case study approach to demonstrate how awareness of recent research findings and a sound understanding of pathophysiology enable the nurse to become an effective practitioner. A scenario is described in which the nurse is faced with a man admitted to the coronary care unit with a diagnosis of suspected acute myocardial infarction (AMI). Through analysis of the patient's health status, with frequent reference to pathophysiology, the nurse can perform an accurate nursing assessment and so determine immediate priorities for nursing care. The priority objectives were identified as pain control, management of cardiogenic shock, reperfusion of the myocardium, cardiac monitoring for complications of AMI and the effects of treatment, and management of anxiety. Research-based rationales are provided for all objectives.
本文采用案例研究方法，以证明对近期研究结果的认识和对病理生理学的充分理解如何使护士成为一名有效的从业者。文中描述了这样一个场景：一名男子因疑似急性心肌梗死（AMI）入院，住进了冠心病监护病房。通过分析患者的健康状况，并经常参考病理生理学知识，护士可以进行准确的护理评估，从而确定护理的直接优先事项。确定的优先目标包括疼痛控制、心源性休克的管理、心肌再灌注、对AMI并发症及治疗效果的心脏监测以及焦虑的管理。文中为所有目标提供了基于研究的理论依据。
