疼痛性糖尿病周邊神經病變的護理經驗

本文係探討一位疼痛性糖尿病周邊神經病變患者的護理經驗，個案因嚴重疼痛症狀導致失眠、行走困難甚至失業，住院期間又要面對初次診斷糖尿病需學習相關自我照顧技巧的壓力，如何回復正常生活使其面臨極大的挑戰。筆者以Gordon11項健康功能評估，發現個案有血糖過高、慢性疼痛、營養多於身體所需及否認行為不當等健康問題，護理過程中運用同理心、真誠及專業的態度，與個案建立良好的護病關係，透過醫療團隊的合作協助緩解疼痛、控制血糖，藉由不斷學習與討論的過程，增加自我照顧能力，確認及改變不當的否認行為，出院後持續追蹤，協助維持健康行為，提升生活品質及回歸正常生活。

The article discusses a nursing experience of a patient with painful diabetic peripheral neuropathy. Because of painful symptoms, it was stressed to learn the self-care skills of diabetes. The coming sufferings are an extreme challenge to regaining the normal life. Information was collected through 11 criterion of the Gordon scale, by which some unhealthful problems were discovered: hyperglycemia, chronic pain, imbalanced nutrition, and ineffective denial. In the course of caring, a delicate nurse-patient relationship is necessary to built by empathy, sincere attitude, and nursing capability. In collaboration with the caring teams; it should alleviate neuropathy pain and restrain blood sugar. An ultimate purpose is definitely dependent on continuous learning and discussing to increase patients' self-care ability of diabetes and to give up ineffective denial. Afterward follow-up caring and support will be critical to improve their living quality of life.