一位腹膜透析患者學習自我照顧之護理經驗

Nursing Experience with Self-care Education for Patient on Peritoneal Dialysis

本文為分享照護一位末期腎臟疾病患者接受腹膜透析治療之護理經驗，筆者於照護過程中經由直接照顧、身體評估、觀察、會談及應用Gordon十一項功能性健康型態評估等技巧收集資料，加以分析整理，評估確立個案有知識缺失、潛在危險性感染、無望感等健康問題。經由主動關懷個案需求，建立良好護病關係，並透過護理活動的介入，提供整體性、連續性的護理，協助個案解決潛在危險性感染、無望感等健康問題。個案對於腹膜透析治療認知之疑惑，提供專業知識及諮詢，以減輕心中的焦慮，並學習建立自我照顧能力，面對未來的生活。期望藉由此次的護理經驗，提供護理人員日後臨床的照護參考。

The purpose of this article is to describe the nursing experience of an ESRD patient on peritoneal dialysis .The author utilized Gordon's 11 Functional Health Patterns to collect and analyze information then identify problems based on physical assessment, close observation and intensive interviews with the patient. Major health issues found included: the patient's lack of knowledge, potential risk of infection, and the patient's sense of hopelessness. The author established a positive patient-caregiver relationship through proactive care and intervention to resolve the problems associated with the potential risk of infection and the sense of hopelessness. Professional guidance and knowledge of care planning were also provided for the patient on peritoneal dialysis with the goal of eliminating their concerns, anxiety as well as help the patient take care of themselves in the future. The care experience in this article will hopefully provide other nursing personnel with a reference for future clinical care.