於急診照護一位患柏格爾氏病合併動脈潰瘍及慢性疼痛個案的護理經驗

A Nursing Experience of an Emergency Department Patient with Buerger's Disease and Arterial Ulcer Suffering from Chronic Pain

汪依霖(Yi-Lin Wang) ； 江錦玲(Jiin-Ling Jiang)

《志為護理-慈濟護理雜誌》 17卷3期 (2018/06) Pp. 101-111

摘要

本文為於2013年10月14日到2013年10月17日在急診留觀室照護一位32歲女性被確診柏格爾氏病合併慢性動脈潰瘍的經驗。筆者以羅氏適應模式為評估指引，運用會談、身體評估、理學檢查、病歷回顧收集病患資料進行整理和分析，依其迫切性確立三大健康問題：周邊組織灌流改變、慢性疼痛及調適功能障礙。在護理過程中，透過關於柏格爾氏病、慢性疼痛、動脈潰瘍傷口照護等知識為基礎，護理人員主要在協助病患缺血性潰瘍傷口的癒合及減輕其疼痛，並且讓病患學習與慢性疼痛共處及處理技巧，透過傾聽及心理支持，協助個案面對疾病及對藥物依賴的調適。

關鍵字

柏格爾氏病 ； 慢性疼痛 ； 羅氏適應模式 ； 藥物依賴

並列摘要

This article described a nursing experience of a 32 year-old female patient in the emergency department observation unit diagnosed with Buerger's disease and arterial ulcer. The nursing period was from October 14^(th) to 17^(th), 2013. With Roy's adaptation model as assessment framework, the patient's data were collected via interviews, physical assessment and examination, and chart review. Three major health issues were identified: altered peripheral tissue perfusion, chronic pain, and impaired adjustment. Basing on the knowledge of Buerger's disease, chronic pain, and arterial ulcer care, the nursing staff primarily assisted in Ischemic ulcer wound healing and pain relief, encouraging the patient to learn to coexist with chronic pain and to acquire management skills, and allow the patient to face and adjust to the diseases and drug dependence via listening and mental support.

並列關鍵字

Buerger's disease ； chronic pain ； drug dependency ； Roy's adaptation model