照顧一位股骨頭缺血性壞死接受人工髖關節再造術病人之護理經驗

Nursing Experience of Caring a Patient with Avascular Necrosis of Femoral Head Receiving Revision Total Hip Replacement

股骨缺血性壞死病人接受人工髖關節置換術，經常因關節鬆動，需要接受人工髖關節再造術，本文探討一位因人工髖關節內人工彌補物磨損接受人工髖關節再造手術個案之護理經驗，護理期間自2013年09月04日至2013年09月10日，護理過程中筆者運用Gordon十一項功能性健康型態評估，藉由病史收集、身體評估、會談、觀察等方式蒐集資料。確認護理問題為急性疼痛、潛在危險性感染及身體活動功能障礙，護理過程中以教導深呼吸、採合宜臥位以降低疼痛，衛教預防感染的相關知識，執行復健運動以增強肌肉強度，促進自我照顧能力，因此筆者希望藉此照護經驗，提供日後護理人員在照顧此類的個案在照護上之參考。

Avascular necrosis of femoral head patients received total hip replacement more likely to experience loose joints and needed revision hip prosthesis. This case reported the nursing experiences of a patient with avascular necrosis of femoral head received total hip replacement. The caring period was from September 4, 2013 to September 10, 2013. The Gordon's functional health assessment guide was used to assess nursing problem through history taking, physical examination, interview, and observation. The nursing problems being identified included acute pain, risk for suicide, and impaired physical mobility. Nursing intervention included taking deep breathing, and keeping suitable position to decrease pain. To educate the knowledge of preventing infection, arrange rehabilitation exercise in order to maintain muscle strength, and promote self-care ability. This experience provided nurses with a reference for caring similar patients in the future.