認識青光眼臨床照護

Experience in Caring for a Glaucoma Patient

青光眼是造成全世界失明人口的第二主因，長期的治療及控制眼壓對病患的病程及預後有舉足輕重的影響。本文敘述一位原發性隅角開放性青光眼病患所發生的健康問題，從入院時患眼紅、流淚、眼睛脹痛、對青光眼的知識缺乏，心中有許多的疑惑與焦慮，主護護士在病患91年4/18~4/23住院期間運用Gordon十一項健康功能評估、觀察及會談，確立的護理診斷包括：急性疼痛、知識缺失及個人因應能力失調等。給予個案心理支持、提供疾病的相關知識與指導自我照顧的技能等一整體的護理活動後，使病患認知能力增加、自信心提昇及因疾病所造成視力之缺損未再惡化，經過六個月的門診追蹤及電話訪問，個案不僅自我調適情況良好，眼壓維持正常，並和家人及朋友互動良好且工作順利。

Glaucoma is the second main reason of blindness in the world, and the longterm treatment and controling intraocular pressure have very important influences on the course of disease and prognosis. This text described the health problems of a primary open angle glaucoma (POAG) patient, when he was admitted to hospital, the signs were redeye , tearing, eye pain, deficient knowledge of glaucoma and a lot of doubt and anxiety. The primary nurse used Gordon 11 Functional Health Pattern to assess , observe and interview. Final nursing diagnoses included: Acute Pains , Deficient Knowledge , Ineffective Individual Coping, etc. Nursing staff offered the patient total care of psychology support, knowledge of glaucoma and self-care instruction. The result showed the patient did increase his cognitive ability, promote self-confidence and maintain visual acuity. After six months of follow-up tracing by phone, the patient gained normal intraocular pressure and kept good relationship with his family and friends.