一位罹患男性生殖器官培勒尼氏疾病病患手術前後護理經驗

A Nursing care Experienve of a Male Patient with Peyronie's Disease : Before and Agter Surgery

本文主旨在探討一位罹患培勒尼氏疾病的個案在接受手術前後的身心護理經驗，個案因為陰莖勃起時疼痛導致性行為無法順利完成，使得個案產生性功能障礙，並且在害怕與妻子過著無性行為生活的壓力下，因而接受外科手術的治療。針對此個案，筆者依據戈登(Gorden)十一項健康功能型態，藉由照顧個案過程中，利用會談、觀察、傾聽的方式來進行個案生理及心理的評估，進而確立其主要護理問題有：身體心像改變、性功能障礙、焦慮、舒適情況改變、高危險性感染等項目。針對分析後所發現的各項問題，提供合適的護理措施，除了給予個案術後傷口的照顧及護理外，更針對全人的整體護理，以滿足個案心理層面及生理層面的需要，使得個案術後能夠早日脫離因性生活障礙所造成的陰霾。

The purpose of this article is to explore a male Pey-ronie’s disease patient’s state of physiology and psychology prior of receiving corrective surgery. Subject patient suffers pain during erection, which subsequently leads to unsu-cessful sexual intercourse; these sexual dysfunction forces subject to consider surgical operation treatment. Through nursing subject patient; by talking, observing, and listening, the author was able to evaluate/analysis subject patient’s physiology and psychology. This analysis summed up few conditions, which points out issues that required to be addressed when treating subject patient with similar disease, Conditions such as body image change, sexual dysfunction, anxiety, uncomfortable, and high risk of potential disease infective. Knowing the conditions of the patient, the narrator was able to apply appropriate nursing practices towards the patient, which correctly addressed the patient’s needs, both mentally and physically.Because of this extra effort, subject patient was able to depart quickly, away from the haze created by this sexual blockage.