- 期刊
以健康信念模式建立一位肝移植病人健康管理準備度之護理經驗
Nursing Experience from Building on Readiness for Enhanced Health Management of a Liver Transplant Patient Based Health Belief Model
摘要
本文描述一位因酒精性肝硬化接受肝臟移植手術後的健康管理的護理經驗。2019年5月27日至6月24日藉由健康信念模式進行資料收集，確立主要健康問題有：活動無耐力、增進健康管理準備度。建立治療人際關係後，給予活動計畫、預防感染及自我監測之相關衛教。在出院前，協助下載服藥手機應用程式以利正確按時服藥；與營養師、復健師、呼吸治療師及主治醫師討論，提供合適的營養及活動計畫；協助加入「阿肝俱樂部」社群，建立與其他病友交流管道。出院時，提供照護諮詢電話，以利回應問題。返家後，由電訪得知，病人遵循服藥規則，無排斥或感染症狀。定期回診抽血數值皆正常。期望此照護經驗，可提供肝臟移植病人建立健康管理準備度。
並列摘要
This article describes the nursing experience of a patient who received a liver transplant due to alcoholic cirrhosis. From 27^(th) of May to 24^(th) of June in 2019, the authors collect data through health belief model and confirmed major health problems that includes activity intolerance and readiness towards enhanced health management. After establishing therapeutic relationships, we provide relevant health education for activity planning, infection prevention and self-monitoring. Before discharging from the hospital, we assisted in downloading mobile application to remind patient to take the medications on time; discuss with dietitians, rehabilitators, respiratory therapists and attending physicians, in order to provide appropriate nutrition and activity plans. Moreover, assist in joining the ＂Liver Club＂ community and establish communication channels with other patients. When discharged from the hospital, provide a care consultation phone to help respond to questions. After returning home, it was learned by telephone interview that the patient followed the medication regulations and had no symptoms of rejection or infection. The blood drawn value at regular visits indicates normal. It is hoped that this nursing experience can provide liver transplant patients to establish health management readiness.