胰腎臟移植病人之手術全期護理

Perioperative Nursing Experience of a Simultaneous Pancreas and Kidney Transplantation Patient

本文是描述一位罹患第一型糖尿病的歲女性病人，經歷左腎切除、流產及右腎衰竭等病程，需長期依賴血液透析，在接受胰腎臟同時移植手術治療之手術全期照護經驗。筆者在護理期間運用十一項健康功能評估，確立個案有焦慮、潛在危險性手術擺位傷害、潛在危險性傷口感染、潛在危險性傷害、潛在危險性之體液容積缺失、疼痛及現存知識缺失等健康問題；針對個案及家屬之身心健康需要提供個別性之護理計劃與措施，並運用手術室護理人員之專業知識及技能，協助個案及家屬處理健康問題，渡過手術全期，恢復健康進而得到其所期待之生活品質。

This article reported the nursing experience of a twenty-nine- year patient whoreceived a simultaneous pancreas and kidney transplantation. Using Gordon's model,we identified that the patient had health problems such as anxiety, potential risk ofwound infection, potential risk of liquid volume deficit, potential risk of injury,potential risk of perioperative positioning injury, pain and knowledge deficit, etc.We provided an individualized nursing care plan and interventions for the patientand her family based on their needs. By the practice of perioperative nursing care,professional knowledge and skills, we assisted the patient and her family throughoutthe operation safely as well as managing the health problems. With our help, thepatient recovered from illness and later lived an expected quality of life.