| 英文摘要 |
Liver transplantation is offered to patients in the terminal stage of liver disease to enhance their long-term survival and the quality of life. Liver transplantation is currently the most widely recognized therapeutic method with high success rates. This case study described nursing care for a liver transplant recipient whose chances of infection, postoperative wound pain, and anxiety were increased due to surgery, invasive tubes used, and the administration of immunosuppressive drugs. The authors applied Gordons 11 functional health patterns to conduct an overall assessment from March 21st, 2013 to March 25th, 2013. The client was found to have three major nursing problems, namely, potential infection, pain, and anxiety. During the nursing process, the author played the role of a supporter, caregiver, and teacher and established a good nursingpatient relationship with the client and his family. The medical teams provision of liver transplant related clinical skills and knowledge of treatment, the patients expression of emotions, and having family support contributed to decrease the client’s anxiety level from 21 points to 14 points, and the client managed to make self-adjustment. On the other hand, the postoperative protection and prevention of infection, and pain were implemented, while the aseptic wound care and relaxation techniques were imparted to ensure the case transferred out of the ICU without occurrences of infections. The clients pain index also decreased from 8 points to 2 points, while outpatient clinical follow-up continued. This nursing experience was provided to clinical nurses as a guide to help them reduce patients pain and better understand patients mental status, thereby improving the quality of care. |
