英文摘要 |
Faced with the treat of illness, how a patient interprets that illness is affected by his or her experience and knowledge. The result of that interpretation in turn influences the patient’s attitude towards seeking treatment and healthy behavior. Nurses who understand the patient’s interpretation of the illness may be better able to provide appropriate intervention treatments for enhancing the patient’s self-care skills and achieving disease self-management. This article present the case of a 27-year-old diabetic patient whose poor control of blood sugar and cognitive bias leading resulted in the condition rapidly deteriorating to end stage renal disease and having to rely on dialysis. The author applied the “illness representation model” to understand the patient’s perception of his illness, help the patient correct his misconceptions about hemodialysis treatment, changed his illness representation then guided him in accepting his new role and improving his quality of life. |