- 期刊
應用健康信念模式照顧一位初次接受血液透析患者之護理經驗
Applying Health Belief Model to Care for a Patient Receiving Her First Hemodialysis
摘要
慢性腎臟病（chronic kidney disease, CKD）為慢性終身疾病，促使病患能採取健康促進行為是護理照護重點之一。本文旨在分享照護一位初次接受血液透析患者，應用健康信念模式進行健康促進行為的護理過程。照護期間於2013/4/1至2013/4/10，筆者以相關文獻查證、健康信念模式為護理過程指引，運用會談、觀察、行為過程紀錄及病歷查閱等方式進行資料收集。結果顯示，個案在執行健康促進過程中所遇到的阻礙有：自覺疾病易患性及嚴重性認知不足、採取健康行為的障礙高等。為除去上述健康促進行為之阻礙，執行以下護理措施：（1）與個案建立良好的人際關係，傾聽並了解個案的想法；（2）運用認知及行為技巧；（3）利用個別及衛教單張的方式進行衛教，以協助個案對CKD有正確的認知，並藉由舉例使個案了解CKD併發症的嚴重性，進而促進個案採取飲食控制、規律運動、自我監測血壓等健康促進行為。護理過程中藉由修正個案對疾病的自覺罹病性及嚴重性、增加行動利益、降低行動障礙及提供行動線索等五大方向來使其疾病得以控制，希望藉由本篇個案報告能提供臨床護理人員的相關照護概念。
並列摘要
Chronic kidney disease (CKD) is a life-long chronic disease so in this context, one of the foci in nursing is promoting patient health belief. This report described care experience of a dialysis patient based on the application of the health belief model. The care period was from April 1 to 10, 2013. The author used the health belief model as a guideline, and applied interviews, process records, and chart reviews to collect data for analysis. The results showed that the patient underestimated the threat of the disease. The patient perceived prevention action as obstacles rather than seeing their benefits. Nursing intervention included the following: (1) establishing good interpersonal relationships, (2) applying cognitive techniques, and (3) providing individual health education. In this way, the patient not only attained dietary control, carried out regular exercise but also learned how to monitor blood pressure unaided. The results showed that this approach could increase the perceived susceptibility, perceived severity, and perceived benefits of taking action. Moreover, the perceived obstacles to taking action to control the disease were decreased by this approach. The author expects this report to provide valuable information on improving the quality of care provided by clinical nurses.
被引用紀錄
延伸閱讀
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