本文描述一位罹患急性心肌梗塞患者，在接受冠狀動脈繞道手術後的護理經驗。護理期間自2004年10月5日至2004年10月16日止，筆者運用Gordon 11項健康護理評估，經觀察、會談、病歷記錄方式，收集個案相關資料加以分析整理，確立個案的問題有「保護能力改變」、「活動無耐力」、「身體心像紊亂」等護理問題。在護理過程中，筆者針對個案護理問題，提供個別的護理措施，如主動關懷身體舒適、協助維持生理功能、保持傷口清潔與改善傷口感染問題，以及有計畫的心肺復健運動，採漸進方式增進個案的心肺功能等。筆者期望此次術後照護經驗，可提供臨床護理人員有效的術後照護措施，並將之運用在照護冠狀動脈繞道手術的患者。
This article describes the post-operative nursing care experience with a patient with acute myocardial infarction (AMI) undergoing coronary artery bypass graft (CABG). The nursing care experience lasted six months (May 10 to October 16, 2004). Patient data were collected by observation, interview, and chart review. Using Gordon 11-item Functional Health Pattern Assessment, the author characterized the patient's clinical problems in such terms as "Protective Ability Alteration", "Activity Intolerance", and "Physical Image Change". During the postoperative nursing care period, the author responded to the patient's clinical problems paying particular attention to the patient's body comfort, the maintenance of physiological functions, keeping patient's wound clean and free from infection, and helping the patient gradually enter a cardiopulmonary rehabilitation program. The attending nurse finally helped the patient realize the facts of the disease and pass the critically postoperative phase psychologically. This approach can help instill in the patient a positive attitude, overcome changes in body image, and improve health condition during cardiopulmonary resuscitation.
