運用 Swanson 關懷照護於機構老年新住民之護理經驗

Nursing Experience of Applying Swanson's Caring Theory in Caring for a Newly Admitted Older Resident

本文描述一位80歲老人因健康狀況不佳，家人無暇照顧，而入住長期照護機構，但因新環境及用藥習慣改變，產生不安全感、被遺棄感、低自尊、對護理人員不信任感，以及焦慮與憂鬱。筆者於2012年10月20日至12月16日，透過觀察、會談及評估，確立個案有焦慮、營養少於身體所需、低自尊、潛在危險性孤寂等健康問題，並以Swanson關懷照護理論為基礎，展現有效溝通及人際互動技巧，進而建立良好的護病關係；透過瞭解與陪伴，提供支持性、安全的環境和實際的照護，建立其安全感及對護理人員之信任感，使其能自我照顧，減少孤單及焦慮感，提昇自尊，適應新環境。

This article described the nursing experience of caring for an elderly resident newly admitted because of a decline in health status. The older resident exhibited signs of insecurity, a sense of abandonment, low self-esteem, distrust, anxiety and depression. The nursing period was from October 20th to December 16th, 2012. By observing, interviewing and assessing, the nursing problems were identified, including anxiety, malnutrition, low self-esteem and risk for loneliness. Following Swanson's caring theory, the primary nurse applied effective communication and interpersonal skills to build a therapeutic and trusting relationship with the resident. The nurse provided supportive and safe environment and care with the resident to improve his sense of security and trust through understanding and presence. Therefore, the levels of loneliness, anxiety and depression were decreased, and the levels of self-esteem and the ability of self-care were improved so that he could adapt to the new environment.