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照護一位活體雙肺葉移植學齡期兒童術後復健之加護經驗
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Journal Article
照護一位活體雙肺葉移植學齡期兒童術後復健之加護經驗
2024
Overview
本文旨在探討一位學齡期兒童因急性呼吸窘迫症候群及間質性肺纖維化，接受活體雙側肺葉移植術後復健之加護經驗，個案因肺功能嚴重損傷，接受父母捐贈的肺臟，進行「活體雙肺葉移植」，女童經歷術前評估及術後長期住加護病房復健，筆者於2022年10月25日至2022年12月15日照護期間，經由直接照護、身體評估、會談、病歷查閱以及與病童及其家屬互動等方式進行資料收集，並將收集的資料加以分析，歸納出活動無耐力、營養少於身體需要、焦慮等健康問題。在肺臟移植術後復健期間，跨領域團隊合作制定照護計畫，主動關懷，鼓勵女童與父母表達感受，透過圖卡教導飲食管理及利用治療性遊戲促進早期肺部復健運動，改善重症病人心肺耐力，鼓勵父母參與照護、執行出院準備與衛教。此為臺灣首例活體肺葉移植，期許此護理經驗能對日後照顧此類個案之照護團隊，提供護理過程與照護經驗之參考。
