摘要
青光眼是造成全世界失明人口的第二主因，長期的治療及控制眼壓對病患的病程及預後有舉足輕重的影響。本文敘述一位原發性隅角開放性青光眼病患所發生的健康問題，從入院時患眼紅、流淚、眼睛脹痛、對青光眼的知識缺乏，心中有許多的疑惑與焦慮，主護護士在病患91年4/18-4/23住院期間運用Gordon十一項健康功能評估、觀察及會談，確立的護理診斷包括：急性疼痛、知識缺失及個人因應能力失調等。給予個案心理支持、提供疾病的相關知識與指導自我照顧的技能等一整體的護理活動後，使病患認知能力增加、自信心提昇及因疾病所造成視力之缺損未再惡化，經過六個月的門診追蹤及電話訪問，個案不僅自我調適情況良好，眼壓維持正常，並和家人及朋友互動良好且工作順利。
並列摘要
Glaucoma is the second main reason of blindness in the world, and the long-term treatment and controling intraocular pressure have very important influences on the course of disease and prognosis. This text described the health problems of a primary open angle glaucoma (POAG) patient, when he was admitted to hospital, the signs were red eye, tearing, eye pain, deficient knowledge of glaucoma and a lot of doubt and anxiety. The primary nurse used Gordon 11 Functional Health Pattern to assess, observe and interview. Final nursing diagnoses included: Acute Pains, Deficient Knowledge, Ineffective Individual Coping, etc. Nursing staff offered the patient total care of psychology support, knowledge of glaucoma and self-care instruction. The result showed the patient did increase his cognitive ability, promote self-confidence and maintain visual acuity. After six months of follow-up tracing by phone, the patient gained normal intraocular pressure and kept good relationship with his family and friends.
延伸閱讀
- 王清泓（2000）。青光眼的新觀念。中華民國眼科醫學會雜誌，39(4)，479-479。https://doi.org/10.30048/ACTASOS.200012.0001
- 王清泓（2009）。青光眼視神經病變的鑑別診斷。中華民國眼科醫學會雜誌，48(4)，506-508。https://doi.org/10.30048/ACTASOS.200912.0028
- 林人傑（2006）。青光眼病人視覺功能及健康相關生活品質之相關性探討〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2006.02847
- 鄧美琴（2000）。Medical Treatment of Glaucoma, Update。中華民國眼科醫學會雜誌，39(4)，489-490。https://doi.org/10.30048/ACTASOS.200012.0005
- 呂大文、陳怡豪（2009）。Glaucoma Surgery and the Recent Development。中華民國眼科醫學會雜誌，48(4)，475-483。https://doi.org/10.30048/ACTASOS.200912.0020