糖尿病合併下肢蜂窩組織炎之護理經驗

Nursing Care for a Diabetic Patient with Lower-Extremity Cellulitis

陳明珠(Ming-Chu Chen)

《北市醫學雜誌》 5卷6_S期 (2008/12) Pp. 761-764

https://doi.org/10.6200/TCMJ.2008.5.6.20

摘要

描述一位糖尿病控制不良併發高血糖及下肢蜂窩組織炎個案的護理經驗。筆者經Gordon's 11項健康功能型態為評估架構，採直接護理、觀察及與家屬溝通收集資料，確立護理問題有：不遵從醫囑；營養攝取不均衡；皮膚完整性受損。提供持續性護理與相關知識，給予具體、完整的衛教及食物模型技巧示教與回示教介入後，使個案了解血糖控制對延緩糖尿病併發症發生是非常有幫助的，經兩週的控制及護理，下肢傷口癒合且血糖控制在正常範圍，並將個案轉介糖尿病個案管理師繼續居家追蹤照護。

關鍵字

糖尿病 ； 蜂窩組織炎 ； 不遵從

並列摘要

The main purpose of this report is to describe the nursing experience of caring for a diabetic patient who presented with symptoms of hyperglycemia and cellulitis of the lower extremities. All data were collected by observation of both the nursing staff and family including 11 items of Gordon's Functional Health Pattern Model. Three nursing issues were found to be related to poor prognosis and complications. These were poor compliance, malnutrition and defective skin integrity. The conditions were subsequently improved by providing appropriate nursing care, health education and using food models to ensure the patient had a better understanding of the importance of controlling calorie intake. After two weeks of medical and nursing intervention, the wound of the lower extremities healed and sugar levels were within satisfactory limits. The patient was thereafter transferred to the case manager and was followed up regularly.

並列關鍵字

diabetic mellitus ； cellulitis ； poor compliance