一位第二型糖尿病合併念珠菌陰道炎患者之護理經驗

Nursing Experiences of Caring for Type II Diabetes Patient with Candidal Vaginities

本個案報告是應用Orem自我照顧理論模式進行評估，發現個案有知識缺失、營養不均衡：多於身體需要及焦慮等健康問題，並應用Orem理論中的護理系統：完全代償性護理、部分代償性護理、支持教育性護理等概念提供個案各項護理措施，並給予衛教及心理支持。最後協助個案控制飲食、減輕焦慮，增加對疾病的控制感，維持個人清潔衛生，增加預防念珠菌陰道炎的相關知識，以防止合併症發生。

This case report was applying the Orem’s Self-Care Theory to assess a type II diabetes patient with candidal vaginities. The findings show that the patient had several health problems; knowledge deficiency, nutrition altered: more than body requirements and anxiety. The author used the Orem’s Nursing System including wholly compensatory system, partially compensatory system, and supportive-education to provide nursing care interventions such as educations and mentally supports. Finally, the patient had better diet control, decreasing level of anxiety, and increasing perception in disease control. In addition, the patient improved personal hygiene, and knowledge to candidal vaginitis.