一位實施全人工髖關節置換手術患者之護理經驗

Nursing Experience of a Patient With Total Hip Joint Replacement Surgery

本文旨在探討照顧一位首次接受全人工髖關節置換手術患者之護理經驗。護理期間自91年1月2日至91年1月12日，藉由觀察、會談及身體評估等技巧蒐集資料，以Gordon十一項健康功能型態評估，確立護理問題。主要護理問題有：知識缺失、疼痛、身體活動功能障礙、高危險性感染、睡眠型態紊亂等。筆者在護理過程中，先熟悉全人工髖關節置換之相關資料，進而運用於照護上，並與個案及家屬建立良好互動關係，有助於醫療及復健過程順利，使個案更能適應及使用人工髖關節。

This article was to discuss the nursing experience during 1 January, 2002 to 12 January, 2002 of caring a patient who received toal hip replacement surgery for the first time. The authors assessed nursing problems using the 11-item Gordon Functional Health Measure after detailed observation, consultation and physical examination. The main nursing problems included deficit in knowledge, pain, dysfunction of physical activities, high-risk infection, and sleep disorder. During the process of nursing care, the authors firstly reviewed relevant literatures and academic information about total hip joint replacement surgery, then applied those useful nursing practices on patients. Furthermore, it is important to have good interaction with the patient’s family that was benefit to therapeutic and rehabilitational process to enable the patient’s adaptation.