腹膜透析病人旅遊的準備

Travel Preparations for Patients Receiving Peritoneal Dialysis

腹膜透析病人比血液透析病人在生活上有較高自由度，然有些病人會難以克服離開熟悉環境而畫地自限，有些病人會因工作所需、出差、旅遊等因素，必須離開自己生活常軌，自行面對處理攸關生命安全的種種難題，因此，護理人員如何協助病人克服障礙，做好與透析相關的知能準備，使之能夠在陌生的環境中妥善處理自己的狀況，而有更彈性自在的生活，此是護理人員至為重要的角色功能。為準備病人能安排國內外旅遊或從事各種活動的知能，教學的內容包括旅遊地事前的評估、換液環境的評估與選擇、透析液的安排、如何預防合併症，與旅遊間注意事項等旅遊須知，可以團體或個別方式進行指導，期望能讓腹膜透析病人有意願走出家門，在旅遊前做好準備，更能玩得盡興享受人生。

People who receive peritoneal dialysis (PD) have more freedom than those who are on hemodialysis. However, some PD patients have difficulty adapting to their new environment and thus remain largely homebound. When they work or travel abord, who cannot rely wholly on others, these patients must handle certain life problems alone. It is essential for nursing staff to help PD patients to prepare for overcoming typical inconveniences, improving quality of life, and handling unfamiliar environments. The present study assists patients to arrange domestic and foreign tourism and to participate in various activities. The intervention teaches the pre-assessment of tourism, the assessment and selection of the sterile environment for exchange, the arrangements for dialysate, planning for handling complications, the travel matters attention, and other tourist information using group or individual instruction. It is expected that patients with peritoneal dialysis will be more willing to leave their houses and be better prepared to travel, which should lead to their having more fun and to their greater enjoyment of life.