照護首例手臂異體移植病人之護理經驗

A Nursing Experience of Allogeneic Arm Transplantation

本文主要探討手臂異體移植術後在單一病例之護理經驗，包括因接受移植手術所可能面臨的生理、心理與相關照護問題。作者於2014年9月3日至9月8日照護該名病人。透過相關病史、病人入院會談等方式收集資料，再以Gordon十一項健康功能型態做整體評估，確立病人有潛在危險性感染、潛在危險性損傷、身體心像紊亂及照顧者角色緊張等護理問題。個案在護理人員陪伴下，逐步加強照護的衛教，如日常照護、飲食、服藥與併發症，協助復健療程，分享國外成功案例，以增強病人信心並願意合作，讓移植體發揮最大功能。經由團隊的努力，病人終於順利出院，冀望藉由此文，分享醫護人員照顧此類病人。

This article described a postoperative care experience of a single case of arm allotransplantation, which included the potential physiological, psychological, and other related nursing issues resulted from the transplantation. The nursing period lasted from September 3rd to September 8th, 2014. Data were collected via medical records, admission records, and an interview upon hospitalization. With Gordon 11 functional health patterns as framework, the patient was confirmed to have risk for infection, risk for injury, body image disturbance, and caregiver role strain. Accompanied by the nurses, the patient received health education on post-transplant daily care, diet, medication, and potential complications, as well as successful transplantation cases from overseas, to enhance the patient’s confidence and cooperation and therefore maximize the effectiveness of the transplantation. The patient was eventually discharged with the combined effort of the medical team. The author hopes to share this experience as a reference for nurses when attending to patients with similar conditions.