一位肝性腹水及食道靜脈瘤病患之護理經驗

The Nursing Experience of a Patient with Cirrhosis Ascites and Esophageal Varices

本文是探討一位因肝硬化導致腹水及食道靜脈瘤併發症病患的護理照顧經驗。護理期間為90年4月10日至5月10日，筆者藉由實際的護理活動、觀察以及與個案及家屬之會談、互動等方式收集資料，發現個案的主要健康問題為體液容積過量、睡眠型態紊亂、焦慮以及潛在危險性傷害等。針對上述之護理問題予以提供適當的護理措施，使病患對其疾病的瞭解度增加，提升其自我飲食之控制力和自我照顧能力，並改善其生理上的問題以及減輕焦慮情形，進而提升其生活品質。

The case study reported the nursing experience of a liver cirrhosis patient with ascites and esophageal varices. Data were collected through nursing care, observations, interviewing, and interaction with the patient and families from April 10 2001 to May 10 2001. The patient had four major health problems including excess fluid volume, disturbed sleep pattern, anxiety, and risk for injury. Appropriate nursing interventions were provided to enhance the patient's knowledge about the disease, to increase his ability to diet control and self-care, to lessen the problems of physical disability and anxiety. The quality of life of the patient was greatly improved.