- 期刊
一位末期腎病患者接受半髖關節成形術之護理經驗
An Experience Nursing an End-stage Renal Disease Patient with Hemodialysis Receiving Hip Hemi-arthroplasty
摘要
背景和目的：本報告是在探討一位七十五歲末期腎病女性接受半髖關節成形術後面臨之問題。老年血液透析患者因骨質疏鬆是骨折之高危險群，適當運動、營養以及跌倒預防為照護與衛教之要項。護理期間自96.03.23至03.31。筆者運用直接照護、觀察與會談方式收集資料，發現個案主要護理問題有身體活動功能障礙、高危險性跌倒、自我照顧能力缺失、便秘、知識不足／術後營養等問題，提供生理與心理層面之照護措施，包括維持身體活動功能、改善肌肉強度、預防跌倒、處理長期便秘困擾、學習食物置備方法以維持足夠營養，以及情緒壓力之舒緩，並讓主要照顧者於住院期間即參與照護活動，及早發現問題並導正，協助個案術後恢復，如期出院。期待其出院後能繼續復健及自我照顧。（輔仁醫學期刊2011；9（1）：43-51）
並列摘要
The elderly patient with hemodialysis often suffered from osteoporosis and became high risk group of fracture. The physical exercise, good nutrition and falling down prevention are important parts of nursing care. The purpose of this report is to describe a nursing experience in a 75years-old female with end-stage renal disease (ESRD) on hemodialysis underwent hip hemiarthroplasty. The nursing process method was used to assist the patient during March 23 to 31, 2007. The data was collected through direct care, observation and interview. We found that the patient had suffered from five main health problems, such as physical mobility impaired, risk for falling down, self care deficit, constipation and knowledge deficit/nutrition, respectively. Because of these health problems, we provided physiological and psychological nursing care to the patient, such as keeping body mobility, improving muscle strength for walking and doing activities of daily living, preventing falling down, promoting bowel movement, learning how to prepare daily food for maintaining adequate intake and nutrition, and relieving emotional distress. We also invited the care-giver participating in patient care to discover problems and improve it as soon as possible in order to support the recovery of post operation. Therefore, expecting patient to be able to continue the rehabilitation and promote her self care ability after discharge. (FJJM 2011; 9 (1): 43-51)
延伸閱讀
- 黃惠玲、林秋菊（2015）。運用疾病詮釋模式於一位末期腎病變患者之照護經驗。臺灣腎臟護理學會雜誌，14(2)，38-46。https://doi.org/10.3966/172674042015061402004
- 吳（女秀）嫚、鄭采宸、吳律嫻（2020）。照顧一位末期腎病患者接受腎臟移植手術之護理經驗。彰化護理，27(3)，111-123。https://doi.org/10.6647/CN.202009_27(3).0014
- 張素玲、陳淑卿（2016）。照顧一位股骨頭缺血性壞死接受人工髖關節再造術病人之護理經驗。長庚科技學刊，(24)，177-188。https://doi.org/10.6192/CGUST.2016.6.24.13
- 蔡豐光、謝佩穎、蔡慧玲（2019）。A Nursing Care Experience for an End-Stage Renal Disease Patient Undergoing Initial Hemodialysis。台大護理雜誌，15(1)，76-87。https://doi.org/10.6740/NTUHJN.201901_15(1).0008
- 黃思緯、蔣嘉鈴、許瀚仁（2022）。Nursing Experience of a Patient with End Stage Renal Disease Receiving First-Time Hemodialysis。秀傳醫學雜誌，21(2)，69-80。https://doi.org/10.30185/SCMJ.202212_21(2).0008