英文摘要 |
This paper examines the nursing experience of caring for urinary disorder in a 26-year-old female neurogenic bladder patient. During the care period (1 December 2017 to 15 December 2017), data were collected through direct care, observation, interviews, and physical assessment. Gordon's 11-item Functional Health Pattern was used for comprehensive assessment and confirmed the following three care problems in the patient: urinary dysfunction, potentially dangerous infections, and hopelessness. During the nursing process, Kegel exercises and bladder training were taught, and indwelling urinary catheters were used to improve micturition. Daily catheter care, proper hand washing techniques, dietary education, and the identification of infection symptoms were taught to prevent urinary tract infections. Proactive caring was used to establish a good nurse-patient relationship, and the patient was actively encouraged to express her feelings. Appropriate positive feedback and support from family members were provided to the patient in order to encourage positive thoughts and active participation in self-care and training, which help reduce hopelessness. This enabled the patient to improve quality of life and return to normal life as soon as possible. It is recommended that, when caring for similar patients, multimedia tools be used for health education to strengthen the patient's correct care knowledge to reduce the incidence of infection and discharge preparatory services should also be proactively provided. This can be combined with home care and follow-up outpatient consultations to provide comprehensive care. (Cheng Ching Medical Journal 2020; 16(3): 45-54) |