一位接受人工膝關節重置術病人的護理經驗

Nursing Care Experience in a Patient with Revision Total Knee Arthroplasty

本文探討一位77歲男性個案，因人工膝關節敗血性鬆脫，行人工膝關節彌補物摘除術後，待炎症獲得治癒而再入院行膝關節重置術的護理經驗。藉由Gordon11項健康功能評估，確立現存性感染、疼痛、肢體活動障礙及特定與疾病相關的部份知識缺失等問題。在護理照護期間，護理人員傾聽個案感受，配合術前護理指導給予不安的個案及家屬澄清相關問題，加強預防手術後感染之護理指導，並在手術後依所定的護理計畫提供個別性護理措施使其恢復肢體活動功能。藉由此次護理經驗，提供骨科護理人員，在照顧關節重置術個案時，能有更深入的認識，因而能採取有效的護理措施。

This article discusses the nursing care experience in a 77-year-old male patient. He sufferedfrom right Total Knee Arthroplasty septic loosening after the resection arthroplasty and receivedthe operation in our hospital after the infection was under control. We used the Gordon 11Functional Health Patterns scale to estimate the patient's healthy function, by revealing the majorproblems such as existing infection, pain, physical immobility, and lacking knowledge of the specificdisease.During the nursing process, guided by pre-operation instruction, we listened to the feelingof patients. Our goal was to prevent post operation infection and provide individual nursinginstruction to preserve the patient's limb mobility. Through this experience, the orthopedic nursingstaff may learn more deeply about the caring revision of the arthroplasty patients. It is hoped thatmore effective nursing instructions can be made in this future.