- 期刊
一位紅斑性狼瘡病人合併肺出血及狼瘡腎炎之護理經驗
Nursing Experience of a Patient with Systemic Lupus Erythematosus Combining Pulmonary Hemorrhage and Lupus Nephritis
摘要
紅斑性狼瘡是自體免疫疾病，侵犯全身器官產生炎症反應，造成器官損傷，若同時發生肺出血與狼瘡腎炎併發症時，則會增加死亡率，尤以男性更甚。本文係敘述一位24歲年輕男性罹患紅斑性狼瘡，合併肺出血及狼瘡腎炎的照護經驗。照護期間自2008年1月22日至2008年2月6日。藉由觀察、訪談、筆談等方式收集資料，利用Gordon十一項功能性健康型態為評估工具，對個案進行身、心、靈之整體性評估，發現個案主要健康問題為：氣體交換障礙、潛在危險性感染、體液容積過量、不遵從。透過積極的醫療處置使其順利渡過病危階段，也藉由信任感與護病關係的建立，協助個案澄清對疾病的誤解並規劃符合需求的健康行為，以降低未來發生併發症與住院的機會。希望能藉此照護經驗，提供護理同仁參考。
並列摘要
The aim of this article was to describe the nursing experience of a 24-year SLE patient with pulmonary hemorrhage and lupus nephritis. Information was collected via observation, parley and conversation on writing, direct nursing and history taking from January 22,2008 to February 6,2008. In addition, Gordon function assessment tool did help identify the patient having gas exchange imparted, risk for infection, body fluid overload and noncompliance. By giving active medical treatment and establishing a therapeutic relationship with the patient, the patient could clarify illness misconstruction and select suitable health behaviors, allowing the patient to tide over the acute stage. Ⅰ hope this achievement will help decrease the patient's complication and hospitalization.
延伸閱讀
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- 關培嘉、周怡伶、林珈而（2018）。一位全身性紅斑性狼瘡病患脫離呼吸器之加護經驗。秀傳醫學雜誌，17(2)，93-101。https://doi.org/10.3966/156104972018121702005
- Hung, M. H., Chen, Y. M., Hsieh, T. Y., Chen, D. Y., & Lan, J. L. (2011). 紅斑性狼瘡併發瀰漫性肺泡出血：一家醫學中心之回溯性研究. Formosan Journal of Rheumatology, 25(1&2), 95-101. https://doi.org/10.6313/FJR.2011.25(1-2).14
- 李佩倫、王蔚芸（2014）。一位紅斑性狼瘡併腎病症候群病人之護理經驗。腎臟與透析，26(1)，53-62。https://doi.org/10.6340/KD.2014(1).10
- 鄭佳佩、李家靜、周怡伶、張淑閔（2019）。NURSING CARE EXPERIENCE OF A PATIENT WITH GLOMERULONEPHRITIS CAUSED BY SYSTEMIC LUPUS ERYTHEMATOSUS。秀傳醫學雜誌，18(2)，147-156。https://doi.org/10.3966/156104972019121802009