Liao Ying-Chun, Lin Hung-Ru
Department of Nursing, Linkou Chang-Gun Memorial Hospital.
Hu Li Za Zhi. 2008 Feb;55(1):94-8.
This report describes the nursing experience of using the life review approach to help an elderly stroke patient reduce his feelings of powerlessness. The nursing care lasted between March 14th and May 24th, 2006. In the study of the nursing process, the author uses Gordon's assessment tools to gather subjective and objective information to establish the nursing problems, including activity intolerance, swallowing impairment, high risk of falling down, and powerlessness. Aiming at the nursing problem of powerlessness, the author makes use of the oral history method to conduct a life review of the client. Through the process of life reviewing, the client expressed acceptance of his life, reduced his feelings of powerlessness, and achieved the integration of his ego with his life. This case report might serve as a reference in guiding nurses to provide appropriate nursing interventions in helping clients with similar problems to obtain inner peace and reduce their feelings of powerlessness.
本报告描述了运用生活回顾法帮助一位老年中风患者减轻无力感的护理经验。护理工作于2006年3月14日至5月24日期间进行。在护理过程研究中，作者使用戈登评估工具收集主观和客观信息以确定护理问题，包括活动耐力下降、吞咽障碍、跌倒高风险和无力感。针对无力感这一护理问题，作者采用口述历史法对患者进行生活回顾。通过生活回顾过程，患者接受了自己的生活，减轻了无力感，实现了自我与生活的整合。本病例报告可为指导护士提供适当护理干预，帮助有类似问题的患者获得内心平静并减轻无力感提供参考。
