頁籤選單縮合
題 名 | 照顧一位痛風性關節炎患者初次血液透析之護理經驗=A Nursing Experience of a Patient Suffering from Chronic Rheumatoid Arthritis Receiving First Dialysis Treatment |
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作 者 | 陳碧玉; 許紫燕; 黃碧華; | 書刊名 | 志為護理 |
卷 期 | 10:5 2011.10[民100.10] |
頁 次 | 頁108-118 |
分類號 | 419.73 |
關鍵詞 | 痛風性關節炎; 血液透析; 護理; Dialysis; Nursing; Rheumatoid arthritis; |
語 文 | 中文(Chinese) |
中文摘要 | 本文探討一位長期罹患痛風性關節炎病患,因濫用偏方導致腎臟衰竭初次血液透析 之護理經驗。筆者於2009年1月3日至1月17日,護理期間運用Gordon十一項功能性健康 型態評估,發現個案有「潛在危險性跌倒」、「特定性知識缺失」及「無望感」等健康 問題。因個案長期為痛風性關節炎所苦,曾有幾次痛風石摘除開刀經驗,導致嚴重的跛 行,在面對需長期血液透析治療之打擊下而產生無望感,期間筆者主動關懷個案的需 求,並透由護理活動的介入,使個案增強自我控制,參與自我照顧及強化人際互動,此 外,藉由家屬的支持系統帶給個案希望的建立,為個案解決疑惑,以減少透析治療合併 症,另配合衛教單張的教導使其有明確依循方向,培養個案面對獨立自主的透析生活, 藉此護理經驗與大家分享,以提供護理人員日後照顧此類病患之參考。 |
英文摘要 | This article describe the nursing experience of a chronic rheumatoid arthritis patient receiving first dialysis treatment due to kidney failure resulted from prescription abuse. During the nursing period from Jan 3rd to Jan 17th 2009, Gordon eleven functional health patterns were used to assess the patient, and following health risks were identified: risk of falls, physical disability, deficiency in specific knowledge regarding the contracted disease, and a sense of hopelessness. Suffering from chronic rheumatoid arthritis, the patient had several surgical experiences for tophus removal leading to severe lameness, and dialysis treatment was a double whammy for the patient, resulting in hopelessness. During the nursing period, the author initiatively cared for the needs of the patient, and through effective nursing interventions, the patient exhibited improved self-control, self-care and increased participation in social interaction. By establishing a family support system, the author aided the patient in building hope, and resolved doubts regarding dialysis treatment to reduce further complications. Therapeutic information was provided in order to facilitate better selfcare behavior of the patient. The author wishes to share this nursing experience as a reference for nursing personnel when encountering similar cases. |
本系統中英文摘要資訊取自各篇刊載內容。