運用行為修正策略協助年輕男性患者首次透析之護理經驗

Using Behavior Modification Strategies to Assist Young Male with First Hemodialysis

本文乃運用行為修正理論，協助年輕男性病人面對首次血液透析之護理經驗。護理期間自2017年3月1日至3月11日，筆者以Gordon十一項功能健康評估，經觀察、會談及理學檢查等方式收集資料。確立護理問題：（1）體液容積過量。（2）知識缺失。（3）焦慮。因此病人為年輕男性，其需面對之角色壓力及因應措施與年長者不同，故筆者於護理過程中，考量個別需求，採行「行為修正」理論為介入措施，讓個案了解首次透析，所需具備之自我照護知識與技能，進而降低日後需面對長期洗腎之身、心理壓力，並透過建立病人持續自我監測的概念，以期返家後能落實自我健康管理。期望藉此護理經驗分享，提供護理人員，面對日後照護年輕洗腎病人時之依循，進而協助其能與疾病共存。 This report describes the care experienceof assisting young male patients with firsthemodialysis. The care period was March 1stto 11th, 2017. The author applied Gordon´s11 functional health patterns, observations,interviews, and physical assessments tocollect data for analysis. The following healthproblems were identified for the patient:fluid volume excess, knowledge deficit, andanxiety. Considering the role stress and copingstrategies of young adults were different withthe elderly, the author adopted the theory ofBehavior Modification Strategies to equippatients with self-care knowledge and skillsbefore the first hemodialysis treatment, aimto reduce both physical and psychologicalstress and establish self-monitoring concept forfurther self-care management. This report mayserve as a reference for nurses when providingnursing care for young hemodialysis patientsand helping them to achieve a balance betweennormal life and disease control.