頁籤選單縮合
| 題 名 | 照護一位糖尿病足併發周邊動脈阻塞疾病個案面臨截肢之護理經驗=Nursing Experience in Caring of a Patient with Diabetic Foot Complicated by Peripheral Arterial Occlusive Disease and Facing Amputation |
|---|---|
| 作 者 | 陳資愉; 葉惠玲; 蘇筱雅; | 書刊名 | 志為護理 |
| 卷 期 | 24:4 2025.08[民114.08] |
| 頁 次 | 頁88-98 |
| 分類號 | 419.824 |
| 關鍵詞 | 周邊動脈阻塞疾病; 截肢; 護理經驗; Peripheral arterial occlusive disease; Amputation; Nursing experience; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文為照護一位59歲男性因缺乏對疾病的認知導致血糖控制不良,引發糖尿病足傷口潰瘍併發周邊動脈阻塞疾病,導致右下肢截肢,術後因疼痛、活動困難及身體外觀的缺陷,導致自尊心下降,對未來生活有不確定感,故引發筆者書寫此個案報告之動機。照護期間為2022/12/18至2023/1/13,藉由Gordon11項健康功能評估工具、實際照護及病歷查閱方式蒐集資料,確立病人有急性疼痛、知識缺失及身體心像紊亂等健康問題。運用專業知識及關懷陪伴,提供個別性照護,提升疾病認知,增進自我照顧能力,藉由「關懷理論」,引導病人說出心裡感受,增強有效的因應行為,克服生心理衝擊,重拾自我價值。 |
| 英文摘要 | This report documents the care provided to a 59-year-old man with poor blood sugar control due to a lack of disease awareness, which led to the development of diabetic foot ulcers complicated by peripheral arterial occlusive disease, ultimately resulting in right lower limb amputation. After surgery, the patient experienced pain, mobility difficulties, and psychological distress stemming from an altered body image, leading to diminished self-esteem and uncertainty about the future. The motivation for this case report is our desire to address these challenges. Care was provided from December 18, 2022, to January 13, 2023, utilizing data collected through various methods, including Gordon's 11 Functional Health Patterns assessment tool, direct care, and medical record review. Acute pain, knowledge deficit, and body image disturbance were identified as crucial health issues. Individualized care was delivered using professional knowledge and empathy to enhance disease awareness, improve self-care capabilities, and facilitate the expression of emotional concerns through the application of caring theory. This approach aimed to guide the patient toward effective coping behaviors, enabling him to overcome psychological impacts and regain self-worth. |
本系統中英文摘要資訊取自各篇刊載內容。