運用Orem 照顧理論照顧一名糖尿病婦女併酮酸中毒之護理經驗

Nursing Experience in Caring for a Diabetic Woman with Ketoacidosis Using Orem’s Care Theory

本文探討照護一位因罹患第二型糖尿病婦女併酮酸中毒之護理經驗。筆者運用Orem 照顧理論為臨床護理評估架構，並以觀察及會談之方式，收集資料、進行整體性評估，確立個案有體液容積缺失、無效性健康維護能力、無力感等健康問題。糖尿病為典型自我照護疾病，為了改善病患健康問題，筆者運用同理、陪伴，協同家人，克服個案無力感，運用智慧型手機APP、QR code、Youtube 增加個案學習疾病照護意願，引發學習動機，提升自我照顧技能，除引導家人強化社會支持系統之外，更透過跨領域合作的方式提供個別化衛教指導，使個案能學習自我照顧技巧。建議護理人員需多了解慢性疾病患者對於衛教之需求，具體提供個別、適切的指導，才能符合患者所需，真正的提升其生活品質。

 

Diabetes is a typical self-care disease. In order to improve the health of patients, we listened, cared, and cooperated with family members to overcome the patient’s powerlessness. We also used APPs, QR codes, and YouTube videos to provide guidance on diabetes-related care, increase the patient’s willingness to learn disease care, guide the family to accompany the patient, and strengthen the social support system. Through cross-disciplinary cooperation and individual care guidance, the patient learned about self-care. This study recommends nurses to understand more about the needs of health education among patients with chronic diseases, and to provide specific and appropriate guidance to meet the needs of patients and to truly improve their quality of life.