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題名 | 協助一位重度智能障礙患者接受腹膜透析之護理經驗=A Nursing Experience of a Patient with Severe Mental Retardation Receiving Peritoneal Dialysis |
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作者 | 林麗芬; 黃玉雰; Lin, Li-fen; Huang, Yu-fen; |
期刊 | 嘉基護理 |
出版日期 | 20121200 |
卷期 | 12:2 2012.12[民101.12] |
頁次 | 頁38-46 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | 重度智能障礙; 末期腎臟疾病; 腹膜透析; 抉擇衝突; Severe mental retardation; End-stage renal disease; Peritoneal dialysis; Conflict decisions; |
中文摘要 | 本文乃描述一位初診斷末期腎疾病之重度智能障礙患者,因日常生活無法自理及表達能力不足,長期依賴家人照護,個案及家屬面對透析治療之抉擇衝擊及學習照護技巧的護理經驗。筆者於2009年3月20日~4月15日照護期間,運用功能性型態評估,經由與家屬陪伴及傾聽之訪談技巧,並觀察個案經歷治療過程之反應,統整分析後發現個案及家屬有抉擇衝突、恐懼、照顧者角色緊張及潛在危險性感染等問題。經跨團隊合作,藉由護理指導提供整體及連續性的護理措施,使個案能夠克服治療的恐懼,並協助個案與家屬渡過選擇腹膜透析的調適過程,提供最適切的護理照護,使其終能平順安全地接受後續的腹膜透析治療。希望藉此經驗提供臨床照護此類病患時,能運用及發揮護理獨特功能,協助個案及早適應疾病治療,以提升照護品質。 |
英文摘要 | This essay presents a female patient with severe mental retardation receiving peritoneal dialysis (PD) due to end-stage renal disease (ESRD). During the patient's hospitalization, the author utilized the functional assessment to evaluate the patient's health condition through observation, listening and interviews from March 21 to April 15, 2009. We found the patient experienced fear and potentially hazardous infection. Her caregivers also experienced the decisional conflict and risk of caregiver role strain. Through continuous nursing care program, the patient eventually overcame her fear and was willing to receive PD. This case report could provide a reference for nurses taking care of patients and caregivers with decisional conflict for dialysis in ESRD. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。