Hsu Tsang-Ching, Wu Chia-Chien, Lai Pei-Yu, Syue Ling-Shan, Lai Yi-Yin, Ko Nai-Ying
BSN, RN, Infection Ward, Department of Nursing, National Cheng Kung University Hospital, Taiwan, ROC.
MSN, RN, Assistant Head Nurse, Infection Ward, Department of Nursing, National Cheng Kung University Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2020 Jun;67(3):111-119. doi: 10.6224/JN.202006_67(3).15.
The ongoing coronavirus disease-2019 (COVID-19) epidemic continues to have a global impact. This article describes the author's experience providing nursing care to a female patient who was diagnosed with COVID-19 after returning to Taiwan from overseas. During the patient's period of isolation (February 5th to February 29th, 2020), the author used Roy's adaptation model to perform first-level holistic physical, psychological, and social nursing assessments and collected health-problem information using face-to-face interviews, telephone interviews, and observations via a remote monitoring system. A second level of assessment confirmed that the problems faced by the patient included (1) existing infections related to COVID-19 and (2) anxiety related to uncertainties about disease prognosis, forgiveness from the family, and potential violations of personal privacy by the media. Due to the special nature of the isolation ward, the author used a remote physiological monitoring system to monitor the vital signs, fever, and shortness of breath status of the patient to quickly decrease her physical discomfort and to improve her self-care ability during hospitalization. Environmental cleanliness was strictly maintained to reduce the risk of cross-infection and ensure patient safety. To alleviate patient anxiety, the author established a good therapeutic interpersonal relationship with the patient by making 10-60 minutes of caring calls to her each day, by providing individual care measures, and by using the Internet to play audio and video to teach mindfulness meditation. Caring for COVID-19 cases is a completely new experience. The author hopes that this experience may be used as a reference for caregivers.
持续的2019冠状病毒病（COVID-19）疫情继续在全球产生影响。本文描述了作者为一名从海外返回台湾后被诊断为COVID-19的女性患者提供护理的经历。在患者隔离期间（2020年2月5日至2月29日），作者运用罗伊适应模式进行了一级整体身体、心理和社会护理评估，并通过面对面访谈、电话访谈以及借助远程监测系统进行观察来收集健康问题信息。二级评估确认患者面临的问题包括：（1）与COVID-19相关的现有感染，以及（2）因疾病预后不确定、家人的谅解以及媒体可能侵犯个人隐私而产生的焦虑。由于隔离病房的特殊性，作者使用远程生理监测系统来监测患者的生命体征、发热情况以及呼吸急促状况，以迅速减轻其身体不适，并提高她住院期间的自我护理能力。严格保持环境清洁，以降低交叉感染风险并确保患者安全。为缓解患者焦虑，作者通过每天给患者打10至60分钟的关怀电话、提供个性化护理措施以及利用互联网播放音频和视频来教授正念冥想，与患者建立了良好的治疗性人际关系。护理COVID-19病例是一种全新的体验。作者希望这段经历可为护理人员提供参考。
