Hung Pei-Shan
Cardiovascular Care Unit, Tri-Service General Hospital.
Hu Li Za Zhi. 2005 Dec;52(6):91-8.
Myasthenia gravis is an autoimmune disease. It causes the formation of certain antibodies that attack acetylcholine receptors. The consequent reduction in the number of acetylcholine receptors causes impairment in the transduction of neural pulses (Cross, 1999). Clients usually present with ineffective breathing patterns, high risk of aspiration, and activity intolerance. Myasthenia gravis poses a threat not only to the lives of clients, but also of psychological and social impairment. The author describes the nursing evaluation undertaken during the process of caring for a client with myasthenia gravis, and, using Gorden's functional health assessment guide, summarizes six nursing problems, including high risk of aspiration, activity intolerance, knowledge deficit, powerlessness, ineffective breathing pattern and high risk of injury. Nursing intervention using multiple measures improved this client's symptoms of adjustment and understanding of the disease, while also raising the caring ability and quality of life of both client and family.
重症肌无力是一种自身免疫性疾病。它会导致某些攻击乙酰胆碱受体的抗体形成。随之而来的乙酰胆碱受体数量减少会导致神经脉冲传导受损（克罗斯，1999年）。患者通常表现出呼吸模式无效、误吸风险高和活动耐力下降。重症肌无力不仅对患者的生命构成威胁，还会造成心理和社会功能损害。作者描述了在护理一名重症肌无力患者过程中所进行的护理评估，并使用戈登的功能健康评估指南总结了六个护理问题，包括误吸风险高、活动耐力下降、知识缺乏、无助感、呼吸模式无效和受伤风险高。采用多种措施的护理干预改善了该患者对疾病的适应和理解症状，同时也提高了患者及其家属的护理能力和生活质量。
