| 英文摘要 |
This article described the nursing experience of caring for an end-stage renal disease patient undergoing initial peritoneal dialysis. The duration of nursing care lasted from January 6 to February 2, 2012. Gordon’s 11-item functional health assessment guidelines were used to collect data through observations, interviews, chart reviews and physical examinations. The patient’s problems were identified as excessive fluid volume, imbalanced nutrition--less than body requirements, and anxiety. The author educated the patient on the effective reduction of fluid overload by observing the symptoms of fluid overload, restricting the intake of salt and salted foods, and calculating the appropriate fluid intake. The author also taught the patient to eat small frequent meals, add natural seasonings, maintain oral hygiene to relieve nausea, follow the daily calorie requirement, as well as eat protein and iron rich foods to alleviate the symptoms of anemia and hypoalbuminemia. In addition, using the skills of caring, listening and empathy, the author encouraged the patient to express his feelings of anxiety. Furthermore, pamphlets, multimedia videos and the demonstration of peritoneal dialysis techniques were used to help the patient verify operational procedures and alleviate his anxiety. The nursing process effectively improved the patient’s knowledge and techniques in home peritoneal dialysis and enhanced self-care ability through telephone consultation and the changes in body-weight reduction. This nursing experience therefore provides a useful reference for nursing professionals taking care of patients undergoing initial peritoneal dialysis. |
