| 英文摘要 |
Diabetic patients with wounds infected by vibriovulnificus are prone to necrotizing fasciitis, severe sepsis, and even death. This article describes the nursing experience of a female 67-year-old diabetes mellitus patient with necrotizing fasciitis caused by a right thumb stick injury with a fish bone, leading to septic shock and acute renal failure complications. Information was collected via physical examination, observation, handwritten interviews, direct nursing, and chart review from November 22, 2010 to December 10, 2010. Roy's Adaptation Model for complete evaluation was used. Problems identified included wound pain, impaired tissue integrity, anxiety, and feelings of powerlessness. Through active wound care, companionship, and provision of disease-related information while establishing trust, infections were prevented and damage to the surrounding tissue was reduced. The patient was encouraged to express her needs and feelings, thereby decreasing anxiety and physical discomfort. She was also encouraged to participate in the wound dressing process. The patient was introduced to similar disease sufferers to share common experiences and coping strategies, as well as strengthen the feelings of camaraderie and self-confidence. By learning from experiences of other patients with necrotizing fasciitis, the patient was able to address her psychological distress of becoming family burdens and also to overcome the discomfort of the disease. |
