| 英文摘要 |
Home care and nutrition are everyday challenges for hemodialysis patients and their families. Clinical research has found an increase in the incidence of restless leg syndrome with hemodialysis which affected patients’ emotions, mental state and quality of life. Nurses in the dialysis center however rarely give patients information on the disease and self-care. This study presents the clinical nursing experience with a 61 year-old hemodialysis patient experiencing malnutrition with restless leg syndrome, using Roy’s adaptation model to assist with and enhance the patient’s empowerment and adaptation, and to provide clinical nurses with more information and nursing interventions related to restless leg syndrome. The data for the case report was collected through consultation, physical assessment, review of patient records, and physical examination. The health problems were as follows: (1) nutrition less than body requirements, (2) anxiety, and (3) sleep pattern disturbance. During the nursing process, the researcher used empathy skills to understand the negative perception of the hemodialysis patient with malnutrition and restless leg syndrome. The researcher provided a positive support system to the patient and used professional nursing knowledge to impart related knowledge and suggestions concerning diet therapy and self-care skills. Through these nursing interventions and health education, the patient gradually adapted to hemodialysis treatment, learned about home care for restless leg syndrome, and improved his satisfaction with life. |
