頁籤選單縮合
題名 | 一位行單階段微創經皮腎造廔碎石術病人之手術全期護理=Full-Period Nursing Care of a Patient Undergoing Single-Stage Minimally Invasive Percutaneous Nephrolithotomy |
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作者 | 邱湘涵; | 書刊名 | 志為護理 |
卷期 | 22:4 2023.08[民112.08] |
頁次 | 頁95-104 |
分類號 | 419.82 |
關鍵詞 | 腎結石; 經皮腎造廔碎石術; 手術全期護理; Watson關懷理論; 焦慮; Anxiety; Nephrolithiasis; Percutaneous nephrolithotomy; Perioperative nursing; Watson's caring theory; |
語文 | 中文(Chinese) |
中文摘要 | 本文探討一位69歲男性,因右下腹反覆疼痛,確診為右側腎臟結石而入院接受單階段微創經皮腎造廔碎石術。筆者於2019年9月30日至10月3日間以手術全期連續性護理結合Watson關懷理論的運用,確立個案術前有焦慮、術中有潛在危險性手術傷害、術後有急性疼痛及健康知識行為尋求的護理問題。筆者藉由術前訪視,與個案建立治療性人際關係,鼓勵其表達感受及提供手術相關資訊以減輕焦慮;術中依照手術室標準流程提供全程防護;術後運用疼痛評估量表評估並教導其緩解技巧以增進舒適感,並與個案、家屬共同擬定護理計劃,加強預防結石復發之飲食衛教。期望藉此護理經驗的分享,作為往後護理此類病人的參考。 |
英文摘要 | This article discusses a 69-year-old male patient diagnosed with a right kidney stone and repeated right lower abdomen pain. The patient was admitted from September 30 to October 3, 2019, and underwent a single-stage minimally invasive percutaneous nephrolithotomy. During the nursing care the author collected data using Watson's care theory which indicated the patient had anxiety before the operation, potentially dangerous surgical injuries during the operation, and acute pain and lack of healthcare knowledge after the operation. Preoperative visits were made to encourage the patient to express feelings, and operation-related information was provided at the same time. During the operation, standard procedures were employed to ensure safety. After the operation, a pain assessment scale was used to evaluate level of pain, while pain relief skills were taught to improve comfort. Also a care plan was drawn up to strengthen dietary awareness; help prevent the recurrence of stones; and enhance positive health behavior to promote a good quality of life after discharge from the hospital. It is hoped the sharing of this nursing experience will serve as a reference for nursing such patients in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。