Patient Centred Care

Effectiveness of Improved Health Awareness on a Patients Coping Behavior after Tracheostomy due to Vocal Cord Paralysis Introduction


When vocal cord paralysis occurs, emergency endotracheal intubation or tracheostomy is required to maintain respiratory tract patency. Tremendous pressure in face of surgery pose extreme threats and burdens to patients in multiple ways. the use providing guidance on effective self-management and establishing good nurse-patient communication channels, thereby improving awareness and enhancing the coping ability in patients.


The case study was a patient who was admitted into the ICU after tracheostomy due to vocal cord paralysis. The study lasted for 2 weeks. By tracing the root causes concerning clinical handling and overall surgery pressure management for the patient, for care intervention and strategic measures for three areas were conducted. (1) Emotional orientation: good nurse-patient relationships were established through proactive care and support based on three principles, ”observing (visiting), heeding (listening) and communicating (explaining)”, to guide the patient towards positive thinking. (2)Problem orientation: guidance and consultation on health education. (3) Structural orientation: the aim was to strengthen familial and social care structures.


Through three major orientations interventions did effectively improve the patient’s ability to cope with pre-surgical anxiety and pressure and to accept the post-surgical impact on the patient’s disease with a positive attitude and learn what to pay attention to after tracheostomy and knowledge about the disease, thereby achieving self-care and a positive coping strategy.


Good communication between healthcare teams and patients combined with the also effectively reduce anxiety in patients and their families with surgery by providing appropriate guidance on information about disease-related personalized care and clarifications regarding issues, thereby easing pressure and increasing patient confidence in health maintenance.


Posted by: CHEN, TZU-CHIEH, Nurse Practitioner, Chi Mei Medical Center Chiali Chi Mei Hospital, Taiwan (08-Feb-2018)
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