照顧一位末期腎臟疾病患者接受長期血液透析之護理經驗

A Nursing Experience of a Patient Who acepted Hemodialysis with ESRD

本文探討一位末期腎臟疾病患者，在接受長期血液透析治療後病患的健康問題，筆者利用Gorden 11項功能性健康評估，發現個案呈現之健康問題有：體液容積過量，知識缺失，睡眠型態紊亂等問題。筆者根據文獻查證給予相關護理措施，採會談、傾聽、給予指導及支持，讓個案對疾病有正確的認知，協助個案適應疾病治療過程，增強自我照顧能力，讓個案能適當控制水分攝取、降低體液容積，減少高磷食物及降磷藥物正確服用、維持血磷之正常值，鼓勵說出內心想法、改善夜間睡眠品質，期以減少長期血液透析併發症的產生。

The purpose of this case study is to describe nursing experience with a patient who had accepted long-term hemodialysis as an end-stage- renal disease patient. The author applied the Gordon functional assessment tool to help identify the patient ’s problems. The problems identified were excess fluid volume between hemodialysis sessions, a deficiency in knowledge of the disease and a disturbed sleep pattern. The nursing interventions were patient education, listening to the patient’s complaints and empowering the patient with self-care skills in order to assist the patient to adapt the disease process. The results of the intervention were that the patient was able to improve their fluid control ability between hemodialysis sessions, obtain an improved sleep pattern and began to experience fewer complications.