照顧一位連續可動性腹膜透析病患發生腹膜炎的護理經驗

Nursing Experience on a CAPD Patient with Peritonitis

連續可動性腹膜透析（Continuous Ambulatory Peritoneal Dialysis 簡稱CAPD）是目前末期腎衰竭病患用來維持生命的治療方法之一，在臨床上腹膜炎是最常見亦最嚴重的合併症。本個案報告是探討一位初行連續可動性腹膜透析的患者，發生腹膜炎時所面臨生理、心理、社會衝擊的護理經驗。筆者以Gordon 11項功能進行資料收集護理評估，經整理分析之護理問題為：疼痛、現存性感染、體液容積過多、營養狀況改變、焦慮、無望感、知識不足等。在護理期間（89年4月12日至90年5月30日），採持續性、整體性的個案管理護理模式，給子適當的護理措施，改善病患之身心不適，使病患獲得良好的治療與調適。筆者深深感受到能提供持續性、整體性的專業照護，對病患而言才是優質的護理。

Continuous Ambulatory Peritoneal Dialysis (CAPD) is one of the primary treatments for maintaining the life of end stage renal disease (ESRD) patients. Peritonitis is one of the most common and serious clinical complications. This case report is based on a study from the nursing experience of a new peritoneal dialysis patient who was facing physical, psychological, and social difficulties. Gordon's 11 items on life functions were used to asses this patient's needs. This patient had the following problems: pain, infection, excess body fluid, change of nutritional status, anxiety, hopelessness, and lack of knowledge of self-care of peritoneal dialysis. Nursing care focused on these problems. Subsequently, the patient had an obvious improvement in peritonitis. Continuous and comprehensive nursing care is the best standard of care for patients suffering from ESRD.