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題 名 | 協助一位初透析病人面臨透析模式改變之照護經驗=The Nursing Experience of Assisting an Initial-Stage Dialysis Patient in Coping with Dialysis Mode Change |
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作 者 | 張素英; 林惠瑛; 楊麗瓊; 藺寶珍; | 書刊名 | 志為護理 |
卷 期 | 14:2 2015.04[民104.04] |
頁 次 | 頁79-88 |
分類號 | 419.73 |
關鍵詞 | 透析模式改變; 血液透析; 復原力; 運動訓練; Dialysis mode alteration; Exercise training; Hemodialysis; Resilience; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述一位腹膜透析患者在治療初期發生透析液滲漏的機械性併發症,面臨透析模式改變之護理經驗。2013年2月20日至4月15日的護理期間,運用會談、觀察、身體評估及病歷查閱等方法進行整體性護理評估,確立個案有體液容積過量、調適障礙與疲憊等健康問題。藉由改變飲食習慣、設計水分限制計畫;協助並尊重個案重新選擇透析模式,並透過家人的支持及激發其復原力,順利度過調適階段;也經由透析飲食指導及運動訓練計畫的介入,改善疲憊問題,協助個案成功適應血液透析治療。建議護理人員在面對病患選擇透析模式或做改變時,能及時介入並協助學習透析照護與適應。 |
英文摘要 | This study described the nursing experience of a peritoneal dialysis patient who experienced a mechanical complication of dialyses leakage at the initial treatment and subsequently underwent dialysis mode alteration. During the nursing period between February 20th and April 15th, 2013, we employed approaches such as interviews, observation, physical assessments, and medical record reviews to conduct an overall nursing assessment for determining the patient's health problems (i.e., fluid volume excess, adjustment disorder, and exhaustion). By using alternative dietary habits and a designed water restriction plan, respecting the patient's decision regarding the alternative dialysis mode, and encouraging family support that stimulates the patient's resilience to adopt an active and positive attitude, following the adjustment stage. An intervention that involved a dialysis dietary guide and exercise training plan mitigated the patient's exhaustion and assisted the patient with adapting to hemodialysis. We suggested that nurses need to assist patients in choosing dialysis mode or change, in time to intervene and assist learning and adaptation of dialysis care. |
本系統中英文摘要資訊取自各篇刊載內容。