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| 題 名 | 一位乙型重度海洋性貧血患者的護理經驗=Comprehensive Nursing Management Improved the Treatment Outcome of a Patient with ß-thalassemia Major |
|---|---|
| 作 者 | 蔡施變; 鄭素珍; | 書刊名 | 高雄護理雜誌 |
| 卷 期 | 30:1 2013.04[民102.04] |
| 頁 次 | 頁96-106 |
| 分類號 | 419.73 |
| 關鍵詞 | 海洋性貧血症; 排鐵治療; 護理經驗; Thalassemia; Iron chelation therapy; Nursing experience; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文敘述照顧一位罹患乙型重度海洋性貧血個案,因需終生輸血致鐵質沉積需進行排鐵治療的護理經驗。筆者自2009年11月2日至2010年1月4日照護期間,於個案五次回診過程中,運用Gordon十一項健康功能性評估為指引,藉由觀察、會談、身體評估等收集資料,確立個案有睡眠型態紊亂、潛在危險性感染、身體心像紊亂、無力感等健康問題。護理過程中,引導個案表達內心感受,給與支持,建立互信之護病關係,並整合相關醫療資源介入,提供居家治療技巧指導及衛教諮詢,增強個案自我照顧能力,降低感染,使其安然度過危機,並希望藉此個經驗分享作為日後照護相同病患的參考。 |
| 英文摘要 | This paper described our experience of managing a patient with ß-thalassemia major who suffered from iron overload resulting from life-long blood transfusion, requiring iron-chelation treatment. Using the Gordon health functional assessment, which includes 11 items, we found that this patient had sleep disturbance, potential risks of infection, unstable psychological status and dilutedness by comprehensive assessment via listening, interviews, concern and communications during five visits from November 2nd, 2009 to January 4th, 2010. During the nursing process, we guided the patient to express her feelings, gave her support, established the nurse-patient relationship, integrated associated resources, provided home-care skills, strengthened her self-care ability, and prevented infection to pass the crisis. Our experience might be taken for reference for similar patients in the future. |
本系統中英文摘要資訊取自各篇刊載內容。