| 英文摘要 |
This article describes the nursing experience for a diabetes hemodialysis patient whose left leg needed to be amputated below the knee after infection. The patient feared the physical impairment and objected to the amputation surgery. From March 13 to April 22, 2014, Gordon’s 11 functional health patterns were used to collect information through direct care, observation, medical records and interviews. Identified problems included impaired tissue integrity linked to the surgical wound in the lower left limb, pain due to amputation surgery and body image disturbance/rejection of amputation. The author established a positive relationship based on mutual trust and active care with the patient then introduced the patient to other dialysis patients who had already undergone amputation. The intervention of physiotherapists and dieticians were also introduced to help the patient overcome physical, mental and social problems. The patient eventually adapted positively on a physiological and psychological level to life after amputation surgery, and was able to enjoy a good quality of life. This case report will hopefully provide a useful reference for post-amputation care of dialysis diabetes patients. |
