| 英文摘要 |
The subject is a young married woman with chronic kidney disease (CKD) whose parents were both on hemodialysis. This report described how communication and coordination was used to gain the support and understanding of her family when she was faced with choice of renal replacement therapy or Tenckhoff catheter implantation for peritoneal dialysis (PD). Between April 12 and August 6, 2012, the author, a CKD education nurse, found through global evaluation using Roy adaptation model that the patient was experiencing health problems such as anxiety, conflicting choices, health seeking behavior and potential infection risks. Through suitable, comprehensive and continuous nursing care measures such as listening, active care and support, we assisted the patient with receiving the facts on long-term dialysis, accepting her choice of dialysis modality and actively engaging in PD self-care. Through timely encouragement, explanation by doctors and clarification of problems, the physical and psychological problems were overcome. The patient was able to enter dialysis treatment successfully without incident and approach the prospect of living with long-term dialysis with a healthy attitude. |
