血液透析病人面臨致命性心律不整之護理經驗－個案報告

本文探討一位血液透析病人因飲食控制不良致高血鉀，誘發致命性心律不整，面臨死亡焦慮之護理過程。照護期間自2013年4月1日至3日，藉由觀察、身體評估、會談及病歷查閱等方式收集主、客觀資料，以Gordon十一項健康功能型態為評估架構，歸納有心輸出量減少、無效性自我健康管理及死亡焦慮等健康問題，藉由密切監測生命徵象及血液動力學變化，教導飲食控制，改善危害健康的飲食行為，並持續給予關懷、鼓勵及支持，增強信心與信念，使個案能產生正向因應行為，緩解死亡焦慮。

關鍵字

心律不整；自我健康管理；死亡焦慮

並列摘要

This report describes the nursing experience of a hemodialysis patient with fatal arrhythmia induced by hyperkalemia due to poor diet, and threatened by death anxiety. During the nursing period between 1st and 3rd April, 2013, subjective and objective information were collected by observations, physical assessments, interviews and review of medical records. Health problems including reduced cardiac output, invalid self-health management, death anxiety, etc, were deduced from the assessments based on the Gordon eleven Functional Health Patterns. The patient formed positive coping behavior and death anxiety alleviated through close monitoring of vital signs and hemodynamic changes, diet control education, improvement of health harming eating behaviors, and continuous care with solicitude, encourage and support to enhance patient ’s confidence and belief.

並列關鍵字

Arrhythmia ； Self-health management ； Death anxiety

國際替代計量

血液透析病人面臨致命性心律不整之護理經驗－個案報告

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