| 英文摘要 |
This article examines the case of a patient that underwent peritoneal dialysis for one month complicated by diaphragmatic hernia. From January 4 to March 31, 2010, the author applied Roy’s Adaptation Model to collect the patient’s data through physical assessment, close observation, interview, listening and studying. The main nursing problems found were the inefficient breathing pattern, post-operative pain, and the feeling of hopelessness. Using the positive patient-nurse relationship established previously to provide personalized care, we alleviated the patient’s physical discomfort through relaxation techniques and spiritual care. Religious resources and family support was introduced to help the patient overcome the feeling of hopelessness and the effects of the disease. Strengthening self-control and sense of participation helped the patient come to terms with his physical and mental condition; regain hope and then return to work. Follow-up interviews and home visits enhanced the patient’s dialysis self-care ability and self-affirmation so peritoneal dialysis could be resumed. In this way, the patient was able to adapt and achieve the best quality of life. The nursing experience will hopefully provide a useful reference in future care activities by clinical nursing personnel. |
