一位高齡心肺疾病末期個案接受八段錦之照護成效
王淑鈴、舒婉娟、謝佳容
10.6283/JOCSG.202406_12(2).140
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中文摘要 本文運用高齡整合照護評估(integrated care for older people guidelines, ICOPE)與周全性老人評估，藉由會談、身體評估、直接照護以收集資料，聚焦健康問題，藉由實證方法尋得照護措施及臨床治療指引，施以八段錦(Baduanjin)，改善一位91歲心衰竭(heart failure, HF)併慢性阻塞性肺病(chronic obstructive lung disease, COPD)個案的低效性呼吸型態(ineffective breathing pattern)與活動無耐力(activity intolerance)之健康問題。照護期間為2022/03/05-06/21。運用照護指引及實證措施緩解低效性呼吸型態，引導個案居家以誘發性肺量計執行呼吸訓練，以節能技巧處理日常生活，每日進行八段錦運動，改善活動力，並提供衛教手冊、影片、通訊諮詢管道，返家後電訪、門診隨診訪視，持續增進正確自我管理。施以實證措施後，明尼蘇達心衰竭生活品質量表降低6分；血清N端腦利鈉前體下降10,409pg/ml；慢性阻塞性肺病評估測試降低14分。期藉由此照護經驗，可供高齡照護朝向以實證為基礎的福祉活動設計之參考。
關鍵字：八段錦、高齡、心衰竭、慢性阻塞性肺病
文章建立時間：2024-08-07
引用格式(APA)：
王淑鈴、舒婉娟、謝佳容(2024)。 一位高齡心肺疾病末期個案接受八段錦之照護成效。
福祉科技與服務管理學刊， 12(2)， 140-153。
Caring for an older patient with end-stage cardiopulmonary disease receiving Baduanjin
Shu-Ling Wang, Wan-Chuan Su, Chia-Jung Hsieh
English Abstract This study utilized the Integrated Care for Older People Guidelines (ICOPE) and comprehensive geriatric assessment to focus on nursing issues in an older patient presenting with heart failure (HF) and chronic obstructive pulmonary disease (COPD). Data collection involved interviews, physical assessments, and direct care methods to identify care needs. Evidence-based practices were employed to devise care interventions and clinical treatment guidelines. The patient, a 91-year-old individual, exhibited ineffective breathing patterns and activity intolerance. The care period spanned from March 5, 2022, to June 21, 2022. Through the implementation of care guidelines and evidence-based nursing interventions, measures such as Baduanjin exercise were introduced to ameliorate the ineffective breathing pattern and improve activity intolerance. Energy conservation techniques were taught for daily activities, and daily Baduanjin exercises were prescribed to enhance activity tolerance. Educational materials, including brochures, videos, and communication channels, were provided, supplemented by post-discharge telephone consultations and outpatient follow-ups, aiming to promote effective self-management. Following the application of evidence-based interventions, there was a decrease of 6 points in the Minnesota Living with Heart Failure Questionnaire (MLHFQ), a reduction of 10,409 pg/mL in serum N-terminal pro-brain natriuretic peptide (NT-pro BNP), and a 14-point decrease in the Chronic Obstructive Pulmonary Disease Assessment Test (CAT). This caring experience emphasizes the potential for evidence-based well-being interventions in geriatric care.Keywords：Baduanjin, elderly, Heart Failure (HF), Chronic Obstructive Pulmonary Disease (COPD).