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| 題 名 | 一位腹膜透析病人併發切口疝氣之照護經驗=Experience in Caring for a Peritoneal Dialysis Patient Complicated by Incisional Hernia |
|---|---|
| 作 者 | 張淑卿; 黃品慈; 黃玉瑩; | 書刊名 | 彰化護理 |
| 卷 期 | 33:1 2026.03[民115.03] |
| 頁 次 | 頁34-45 |
| 分類號 | 419.82 |
| 關鍵詞 | 腹膜透析; 切口疝氣; 焦慮; Peritoneal dialysis; Incisional hernia; Anxiety; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6647/CN.202603_33(1).0006 |
| 中文摘要 | 本文敘述一位30歲男性進入腹膜透析治 療,二個月後發生切口疝氣,術後暫改血液 透析。個案因透析模式改變,其生活、工作 需重新調適,出現焦慮不安等情緒反應。筆 者於2023年8月9日至9月4日照護期間,運用 Gordon十一項功能性健康型態進行整體性評 估,確立健康問題為潛在危險性感染、知識 缺失、焦慮。與個案建立信任的護病關係, 提供個別性血管通路護理指導,增進自我照 護能力;利用手機APP增加其對血液透析飲 食認知改善高血磷;澄清血液透析過程相關 疑慮,經由腎友經驗分享、親友陪伴,透析 中教導放鬆技巧以音樂輔助治療降低焦慮。 建議單位製作影音衛教影片或轉換透析模 式前參觀血液透析室,循序漸進瞭解治療流 程,協助個案調適並適應透析生活。 |
| 英文摘要 | This article describes a 30-year-old man who entered peritoneal dialysis treatment. He developed an incisional hernia two months later and was temporarily changed to hemodialysis after the operation. Due to dialysis mode changes, the patient's life and work need to be readjusted, and emotional reactions such as anxiety and restlessness occur. During the care period from August 9 to September 4, 2023, the author used Gordon's 11 functional health patterns to conduct a comprehensive assessment and identified health problems as potentially dangerous infections, lack of knowledge, and anxiety. Establish a trusting nursing relationship with patients, provide individual vascular access care guidance, and improve self-care capabilities; use mobile APP to increase their understanding of hemodialysis diet and improve hyperphosphatemia; clarify doubts related to the hemodialysis process and share experiences with kidney friends, accompanied by relatives and friends, teaching relaxation techniques during dialysis and using music-assisted therapy to reduce anxiety. It is recommended that units make audio- visual health education videos or visit the hemodialysis room before switching to dialysis mode to understand the treatment process and help patients adjust and adapt to dialysis life. |
本系統中英文摘要資訊取自各篇刊載內容。