關懷一位單親媽媽預先建立動靜脈瘻管之護理經驗

A Nursing Experience of a Single Mother for Pre-establishment of Arteriovenous Fistula

胡靜文(Ching-Wen Hu) ； 李彩歆(Tsai-Shin Lee)

《志為護理-慈濟護理雜誌》 11卷6期 (2012/12) Pp. 119-128

https://doi.org/10.6974/TCNJ.201212.0119

摘要

本文乃是運用Watson關懷理論協助一位末期腎臟病單親媽媽預先建立動靜脈廔管之護理經驗。護理期間為2011年4月21日至9月27日，筆者藉由身體評估、直接護理、會談、觀察、電訪及病歷查閱等方式，依生理、心理、社會及靈性四大層面進行資料收集，確立個案主要有無望感、拒絕建立動靜脈廔管及潛在危險性感染等健康問題，針對健康問題運用關懷照護因子來擬定個別性護理措施並評值。在門診照護過程中，著重信賴護病關係、尊重與接納、提升自我價值感、提供疾病治療資訊並與家屬形成透析治療的共識，協助個案降低無望感，進而正向思考，達到照護目標。

關鍵字

Watson關懷理論 ； 單親媽媽 ； 腎臟替代療法 ； 動靜脈瘻管

並列摘要

This case report discusses to use the Watson Caring theory to take care of a single mother suffering from end-stage renal disease pre-establishment of the nursing experience of the arterio-venous fistula. Nursing care during the period April 21 to September 27, 2011, the author by the physical assessment, direct care, talks, observation, telephone follow-up and medical record access, according to the physiological, psychological, social and spiritual four levels were evaluated. The overall assessment indicated the case had the hopelessness, refusing to build the arterio-venous fistula, and risk for infection. The author uses the caring factor to develop individual nursing care and to evaluate. Nurse-patient relationship in the process of care, focuses on trust, respect and acceptance, improve self-esteem, disease treatment information with the families of the formation of consensus methods such as dialysis, to help the patient to reduce the sense of hopelessness, and then positive thinking to achieve the goals of care.

並列關鍵字

arterio-venous fistula ； renal replacement therapy ； single mother ； Watson Caring theory