頁籤選單縮合
題名 | 肢端紅痛症併發凍傷病人之護理經驗=Nursing Care for an Erythromelalgia Patient with Frostbite |
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作者 | 李梅琛; 陳志昊; 徐淑金; Lee, Mei-chen; Chen, Chih-hao; Hsu, Shu-chin; |
期刊 | 北市醫學雜誌 |
出版日期 | 20120600 |
卷期 | 9:2 2012.06[民101.06] |
頁次 | 頁161-174 |
分類號 | 419.7 |
語文 | chi |
關鍵詞 | 肢端紅痛症; 凍傷; 身體心像紊亂; Erythromelalgia; Frostbite; Body image disturbance; |
中文摘要 | 本文旨在描述護理一位肢端紅痛症併發凍傷病人的經驗,照護期間為2010年6月3日至7月9日,筆者採整體性之身、心、社會與發展、靈性層面評估,以會談、觀察、身體評估進行資料收集與分析,確立個案有疼痛、皮膚完整性受損、身體心像紊亂及知識缺失(預防肢端紅痛再復發之居家生活注意事項)等健康問題。針對疼痛問題,提供藥物及非藥物之緩解疼痛的處置,以降低疼痛強度至病人能接受的程度;對於皮膚組織受損的情形,提供無菌換藥、按時給予抗生素控制傷口感染及教導促進皮膚癒合的方法;至於身體心像紊亂的問題,則提供重建身體心像完整之相關資訊,以避免更進一步影響個案自我概念整合及發展;給予出院健康指導以避免肢端紅痛再度引起凍傷之合併症,以獲取較佳的居家生活品質。 |
英文摘要 | This report describes the nursing care of an erythromelalgia patient with frostbite. Throughout the study period, which lasted from 3rd June 2010 to the 9th July 2010, the author utilizes holistic nursing assessment for appraisal construction, to acquire information for analysis, and to establish the presence of health problems. The health problems included chronic pain, impaired skin integrity, disturbed body image and knowledge deficit in the area of home care in order to prevent recurrent erythromelalgia with frostbite after discharge. In view of the patient's chronic pain problem, the author provided pain reduction intervention. The patient was also taught how to promote skin tissue healing. Finally, the patient was provided with information on how to reconstruct the integrity of their body image in order to avoid further influence on the patient's body structure and development. Providing home care skills should help to prevent a recurrence of erythromelalgia and frostbite, which will promote the patient's quality of life. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。