| 英文摘要 |
"The purpose of this research was to investigate the case of an aged female hemodialysis patient suffering from hyperkalemia due inadequate knowledge of health and hygiene. The main care period was from January 31 through to April 30 in 2011 when she was hospitalized due to hyperkalemia. Careful evaluation found that the patient’s diet was too high in sodium because she found the content of health education to be too much and too complicated to remember. As a result, she was placed in the intensive care unit to control her condition. A complete nursing assessment was performed on physiology, self-concept, role function and interdependence adaptation trends. The main nursing problem was identified to be “Risk for Perioperative-Positioning Injury and hyperkalemia”. The author tested the patient using the Mini-mental state examination (MMSE) and found that the patient suffered from mild cognitive impairment. To help the patient remember the hygiene and health knowledge, a creative mnemonic system was introduced into the traditional content of hygiene and health knowledge. The association method, mnemonic story method, homophonic method and conversation skills were utilized while the patient underwent hemodialysis to make learning about high-sodium foods and how to avoid them easier. No rote memorization was required as well. The training took place over a 4-week period and was assessed through four learning tests. The first test took place on February 21 and the patient remembered only two fruits. By practicing the mnemonic system however, she reached the goal of memorizing seven fruits during the fourth test on March 28. The patient also achieved a basic understanding of the hyperkalemia diet as well. The education and training changed the patient’s behavior, and the knowledge learnt was used in the patient’s everyday life to reduce the intake of foods that induce hyperkalemia. As a result, discomfort from hyperkalemia was reduced and the patient’s quality of life improved." |
