照顧一位糖尿病患不遵從服藥引發高血糖合併舞蹈症之護理經驗

Nursing Experience of a Medication Noncompliant Patient with Hyperglycemia and Chorea

林雅鈴(Ya-Ling Lin) ； 張曉雲(Hsiao-Yun Chang) ； 林宸妤(Chen-Yu Lin) ； 鄭凱仁(Kai-Jen Cheng)

《元培學報》 19期 (2012/12) Pp. 85-95

https://doi.org/10.30171/JYUST.201212.0007

摘要

本文是描述一位第二型糖尿病患者因不遵從服藥血糖控制不佳，導致高血糖合併有舞蹈症之護理經驗。護理期間由2010年11月23日至12月26日，透過觀察、直接會談與身體評估，並以同理心態度來與個案建立良好之治療性關係，運用紐曼系統模式評估，發現個案護理問題有：現存的危險性體液電解質不平衡、服藥不遵從、知識缺失。透過主動關懷及陪伴，運用傾聽及不批判技巧，給予合宜的護理措施及提供個別性指導，並共同參與治療性計劃，建立正確服藥觀念，協助規則服藥，以減少疾病復發率及再住院率。希望藉由此護理經驗，讓護理人員重視病患不遵從服藥後所引發的後果，發揮其專業角色，協助個案正確處理健康問題。

關鍵字

糖尿病 ； 舞蹈症 ； 服藥不遵從 ； 護理經驗

並列摘要

This paper illustrates the nursing experience of a patient with poorly controlled type 2 diabetes who is poor compliance in medication leading to hyperglycemia and chorea. During the period from November 23 to December 26 in 2010, the author used empathy in building a therapeutic relationship and adopted the Neuman systems model as an assessment tool to collect information through observation, personal interview and physical examination. The patient was identified the following nursing needs: fluid volume deficit, risk for electrolyte imbalance, non-compliance with medication, knowledge deficit. Given the appropriate nursing care using proactive caring, accompanying with listening and non-judgmental skills to patient is important for establishing medication compliance through incorporation with patient in therapeutic plan in order to reduce recurrence and re-admission. Through this nursing experience, nurses should pay attention to the consequence of the medication non-compliance to help patients properly deal with such health problem with their professional roles.

並列關鍵字

diabetes mellitus ； chorea ； medication non-compliance ； nursing experience