一位新住民女性接受活體捐贈腎臟移植的護理經驗

The nursing experience for a new immigrant woman receiving livinng-related kidney transplantation

本文描述一位新住民女性接受活體捐贈腎臟移植手術的護理經驗，捐贈者是個案的台籍丈夫，護理期間為2014年9月2日至2014年9月18日。筆者藉由觀察、會談、身體評估、直接護理等方式，並運用羅氏適應模式進行護理評估，確立個案有急性疼痛、高危險性感染及知識缺失等健康問題。照護過程中針對其健康問題擬定疼痛處理、感染控制、提供衛教等各項適宜的護理措施以解決其健康問題。建議護理此類個案需熟悉新住民的健康與適應問題、尊重並理解其文化差異、執行專業之護理技術並提供合宜資訊，以提升個案對治療的信心，並增進其手術後復原與生活品質。

We described the nursing experience for a new immigrant woman receiving living-related kidney transplantation donated from her Taiwanese husband. Nursing care period was from September 2nd to 18th, 2014. According to Roy's Adaptation Model theory, we figured out patient's health problems including acute pain, high-risk infection, and knowledge deficiency by observation, conversation, physical assessment and nursing assessment. Then, we applied adequate nursing interventions such as pain control, prevention of infection, and providing health education to solve these problems. It is suggested that nursing staff should have concept about health and adaptation problem of new immigrants. In addition to respecting the cultural difference, it is important to provide professional nursing skills and appropriate information to enhance their confidence, quality of life and postoperative recovery.