英文摘要 |
This report describes the nursing experience of applying self regulation theory to help a hemodialysis patient with hyperphosphatemia. From September 10(superscript th) to December 10(superscript th), 2007, a behavior modification protocol for controlling phosphate intake was designed and applied to the patient, and data collection was done through observation and interview. We first instructed the patient on how to review the dietary and drug intake. Then self-monitoring on behavior related to the problem of phosphate control was done by recording detailed information on a working booklet. Factors which might cause an increase of serum phosphate level were analyzed and identified, and an adjustment on behavior based on the results of analysis, was made. This action enhanced the self-efficacy and led to an increased desire and effort to achieve the preset goal. This case report might serve as a reference in guiding nurses on how to provide appropriate nursing interventions to help patients with similar problems, and to launch a clinical program for patients with hyperphosphatemia in hemodialysis centers. |