一位有廣泛性焦慮症病史的 28 歲病人出現呼吸急促,並表示感到「快要死掉了」。護理師應首要採取什麼行動?
A 28-year-old client with a history of generalized anxiety disorder presents with rapid breathing and reports feeling like they are 'going to die.' Which action should the nurse take first?
- AAsk the client to breathe into a paper bag要求病人用紙袋呼吸
- BTeach the client deep breathing exercises教導病人深呼吸練習
- CStay with the client and maintain a calm demeanor✓ 正解陪伴病人並保持鎮定態度
- DAdminister an anxiolytic medication as ordered依醫囑給予抗焦慮藥物
面對驚恐發作(Panic Attack)的病人,護理師的首要任務是提供情緒支持與安全感,留在病人身邊並維持冷靜的態度能有效緩解恐懼。過早給藥、強迫呼吸技巧或錯誤的紙袋法可能會增加病人焦慮,應待病人情緒稍穩後再進行介入。
When caring for a patient experiencing a panic attack, the nurse's first task is to provide emotional support and a sense of safety; staying with the patient and maintaining a calm demeanor can effectively reduce fear. Administering medication too early, forcing the patient to use breathing techniques, or applying the incorrect paper-bag method may increase the patient's anxiety; such interventions should be undertaken only after the patient's emotions have begun to stabilize.
美國護理師常執行危機介入技巧;台灣臨床常因人力負荷較重,醫師開藥比例較高,護理師執行陪伴的時間可能受限。