Li Pei-Yeh, Wu Tzu-Jung, Sung Shi-Hui, Chen Hsiao-Yu
Department of Nursing, Chung Shan Medical University Rehabilitation Hospital, Taiwan.
Hu Li Za Zhi. 2010 Apr;57(2 Suppl):S70-74.
The subject of this article is a 20 year-old female with thoracic spinal cord injury with paraplegia suffered during a car accident. The article reports on the nursing experience in helping the patient manage her autonomic dysreflexia (AD), training the patient in self-catheterization, and using relevant social resources in order to achieve a successful return to her studies at school. The authors collected data using interviews, observations, and physical assessments between November 20 and December 30, 2008. The two nursing diagnoses of AD and inadequate preparation for a successful return to school during rehabilitation hospitalization were made during caring procedures. Holistic nursing assessment was employed and the Super-Link System Theory was applied to establish a link between the hospital and school. Individual nursing interventions used included understanding the inducement and treatment of AD, performing self-catheterization, and enhancing the support system by introducing successful clients and relevant social resources in order to transition the patient successfully to her new post-injury life. The patient consequently transitioned smoothly from rehabilitation hospital to school. The authors hope this case report will provide a useful reference for nurses charged with caring for patients with spinal cord injuries while still enrolled at school.
本文的研究对象是一名20岁女性,她在一场车祸中遭受了胸段脊髓损伤并导致截瘫。本文报告了帮助该患者应对自主神经反射异常(AD)、训练患者自我导尿以及利用相关社会资源以使其成功重返校园学习的护理经验。作者于2008年11月20日至12月30日期间通过访谈、观察和体格检查收集数据。在护理过程中得出了AD以及康复住院期间为成功重返校园准备不足这两个护理诊断。采用了整体护理评估,并应用超链接系统理论在医院和学校之间建立联系。所采用的个体化护理干预措施包括了解AD的诱因和治疗方法、进行自我导尿,以及通过介绍成功案例和相关社会资源来加强支持系统,以便使患者顺利过渡到受伤后的新生活。该患者因此顺利地从康复医院过渡到了学校。作者希望本病例报告能为负责护理仍在上学的脊髓损伤患者的护士提供有益的参考。