照顧一位罹患結核病之透析患者的護理經驗

Caring for a Dialysis Patient with Tuberculosis

本篇報告是協助一位罹患結核病之血液透析患者，面對結核病對身體造成的高血鈣、營養不良等健康威脅，亦需重新調適家屬照顧的改變，因而造成生理、心理方面衝擊的護理經驗。筆者於護理期間91年8月27日至10月31日，於個案血液透析時，藉由觀察、會談、身體評估等方式收集資料，並以Gordon十一項健康型態評估個案，發現個案有1.體液電解質不平衡－－高血鈣2.營養狀況改變－－少於身體所需3.身體活動功能障礙4.焦慮等護理問題，針對問題與個案及家屬擬訂計劃，給予相關衛生教育，協助個案改善高血鈣、營養狀況、活動功能及焦慮等問題，使個案重拾自信心。

This case report is based on a study of the nursing experience of caring for a dialysis patient who has tuberculosis as well as possible hypercalcemia and malnutrition. The patient also has to adapt the different methods of family's care. Physical and mental exams occurred between August 27th, 2002 and October 30th. Gordon's 11 items on life functions were used to assess this patient's need. We found that the patient's health problems included: 1.Fluid and electrolyte inbalance-hypercalcimia 2.alnutrition 3.Impaired physical mobility 4.Anxiety. We made new plans for patient and patient's family care as well as offered related sanitation education which to help improve the hypercalcimia, malnutrition, physical mobility and anxiety. We hope that this will make the patient adopt this new life style and have a brighter outlook in the future.