- 期刊
運用羅氏理論照護一位腎移植排斥後再次血液透析病人之護理經驗
Nursing experience of applying Roy's adaptation model for A Patient Returning to Hemodialysis due to Renal Failure after Kidney Transplantation
摘要
本篇探討一位長期血液透析18年後，接受腎臟移植成功，但兩年後又因移植的腎臟衰竭，需重新面對血液透析治療，導致生理、心理承受重大衝擊之照護經驗。護理期間由2020年4月27日至5月22日，筆者使用羅氏適應模式進行整體性身、心、社會評估，以直接照護、觀察、會談與病歷查閱等收集資料，確立護理問題：（一）體液容積過量、（二）疼痛、（三）無力感。於護理過程中，運用護理專業能力及團隊合作降低血管通路穿刺失敗率，解決因血管通路穿刺及漏針的疼痛問題；並提供個別性的水份控制計劃，減少體液容積過量對身體健康危害性；藉由醫療團隊全人照護、家屬的陪伴關懷，增進壓力因應能力，提升自我生命價值感以及自我肯定，重新適應透析生活。
並列摘要
This article discusses a successful kidney transplantation after 18 years of long-term hemodialysis. However, two years later, due to kidney failure after transplantation, the female patient had to face hemodialysis treatment again, which resulted in her suffering a major physical and psychological impact thereby requiring this nursing intervention. The nursing period took place from April 27, 2020 to May 22, 2020, where through physical assessment, observation, interviews and Roy's adaptation model, the author verified that the patient had the problems of (1) excess fluid volume and (2) powerlessness. Strategies to reduce the failure rate of vascular access puncture were used to resolve the pain caused; additionally, individual water control plans were provided to reduce the health hazards. Through the holistic care of the medical team and the accompanying of family members, a positive coping and positive attitude was enhanced, enabling the patient to re-adapt to the life of patient dialysis.
參考文獻
延伸閱讀
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