照顧一位紅斑性狼瘡病人接受全人工髖關節置換術之護理經驗

Nursing Experience in Caring a Systemic Lupus Erythematosus (SLE)Patient Undergoing Total Hip Replacement

本文係探討一位年輕男性紅斑性狼瘡病人，因長期服用類固醇導致缺血性股骨頭壞死，而接受全人工髖關節置換手術的護理經驗。筆者運用Gordon十一項功能性健康型態評估，確立個案健康問題為特定與疾病相關的部分知識缺失、生理舒適情況改變、潛在危險性感染及身體活動功能障礙等。在護理照護期間，筆者與個案建立良好的互動關係，藉由傾聽、溝通技巧及同感心，來發現個案的問題，與個案及家屬共同研擬出院計劃，並提供護理指導，減輕個案對手術及返家自我照顧的焦慮；於出院後藉多次的電話訪談，了解個案返家後復原情況及自我照顧的情形，解決個案疑慮，提供更完整的護理。筆者希望藉由此次護理照顧經驗，讓護理人員對此類病人有更深入的認識，在未來護理照護上能有所助益。

This article discusses the experience in caring a young SLE male patient who underwentTHR due to long-term use of steroid that induced INFH. The author used Gordon's 11 functionalhealth assessment guides to determine that the patient's health problems included knowledge deficit,acute pain, risk for infection and impaired physical mobility. The author and patient established agood relationship during nursing care. Through attentive listening, effective communication andempathy, the author was able to discover the patient's problems and needs, offer nursing instructions,contribute to hospital discharge planning, and reduce the patient's anxiety about the operation beforereturning home. Several follow-up phone calls were made after the patient's discharge inorder to better understand the recovery and self-care status, reduce anxiety level, and supply furthernursing education. The author hopes that through this experience, it may provide other nursingstaff a better understanding and useful knowledge of such patients.