腎臟透析病人國外旅遊健康規劃－－以加拿大為例

International Travel Plan and Health Concerns for Hemodialysis Patients - A case to Canada

根據美國腎病資料登錄系統（The United States Renal Data System,USRD）於2007年統計資料顯示，台灣的末期腎臟疾病（End-Stage Renal Disease，簡稱ESRD）俗稱尿毒症其發生率、盛行率皆為世界之冠。而面對台灣這群龐大的血液透析病人（以下稱透析病人），需進一步了解其需求。末期腎臟病人因長期需依靠血液透析來維持身體機能，但過程中常伴隨貧血、身體虛弱、食欲不振、疲勞感等現象，易造成他們有憂鬱情形發生。本文希冀針對台灣地區特殊族群中之透析病人，規劃適合其特殊健康狀況的國外旅遊行程。透析病人們通常受限於每隔三天即需進行血液透析，造成無法遠行，出國旅行更只能是夢想，但有鑑於透析病人們跟大眾一樣，仍有出國旅行的渴望，若能規劃一套適合他們的行程，則能滿足其需求，並藉此調劑身心，促進健康。本遊程規劃的主要內容包含團員組成屬性分析、行前規劃、風險評估、特殊飲食安排及透析病人行程生理監測等，透過臨床醫護人員的專業知識導入及旅行業者更貼心的行程規劃，以提昇特殊群旅遊的安全性及提供更優質的服務，並確保旅遊過程中的健康及安全。

According to the United States Renal Data System(USRD),the incidence rate and prevalence rate of the end-stage renal disease(ESRD)in Taiwan was the top1 ranking around the world in 2007. There are tremendous needs of the nemodialysis patients needs to be identified. The end-stage ranal disease patient needs long term hemodislysis to maintain their physical functions, but the symptoms of anemia, weakness, lack of appetite, and fatigue are never absent, and usually causes the depressive mood among the group. The aim of this article was to design a international travel plan for those groups with special health concerns The daily activities of hemodialysis patients were usually restricted by their weekly hemodialysis therapy. Go aboard was a dream for most of the patients, the article proposed a travel plan which included the demographic analysis of the members, pre-departure planning, risk assessment, special diet arrangement, hemodialysis therapy arrangement, and physical monitor of patient conditions. Through the multidisciplinary cooperation between medical health personnel and travel agents, we may provide a healthier and safer travel plan for the tourists with special health needs to promote their quality of life .