照顧一位末期腎病變患者建立長期血液透析生活之護理經驗

Nursing Care Experience of a End-Stage Renal Disease in Long-term Hemodialysis

本文是探討一位末期腎病變患者建立長期血液透析生活之護理經驗。照護期間為100年3月24日至100年4月14日。筆者運用觀察、會談、直接照護等方式，並利用 Gordon十一項健康功能型態進行護理評估，確立個案主要護理問題有：無效性健康維護能力、營養不均衡：少於身體需要、焦慮等問題。筆者於照護期間，依個案之個別性，運用護理專業指導透析生活知識，澄清錯誤觀念，以加強自我照顧能力；利用護理指導方式，建立個案良好的飲食習慣，達成營養需求；透過不斷的回覆示教，教導個案及家屬學習正確的自我照顧及緊急狀況處理，進而減少焦慮，期望透過此護理過程引導個案能勇於面對未來透析生活。

This study examines the nursing experience with helping a patient diagnosed with end-stage renal disease prepare for long-term hemodialysis. Data was collected through observations, interviews and direct care of the patient during the care period between March 24 and April 14, 2011. Gordon's 11 fucntional health patterns were used for analysis and discovered the following problems related to the case: Ineffective health maintenance, nutritional imbalance and anxiety. To maintain the patient's self-care ability, we clarified incorrect information via health education. Nursing guidance was used to help the patient establish healthy eating habits for balanced nutrition Through repeated demonstrations, the patient and family members were taught about proper self-care and emergency response, reducing anxiety. This nursing process will hopefully help patients with accepting a future with dialysis.