透過您的圖書館登入
IP:18.221.187.121
  • 期刊

一位骨髓炎合併膝上截肢患者之護理經驗

Nursing Care of an Osteomyelitis Patient with Above-knee Amputation

摘要


本文是探討一位毒癮戒癮者因車禍意外導致右腿開放性骨折,傷口癒後差合併慢性骨髓炎,經多次入院抗生素、手術治療仍失敗,最終被迫接受截肢手術後,因身體功能改變及心理調適不良出現疾病不適應的照護經驗。筆者於2007年11月13日至2007年12月17日個案住院期間,運用羅氏適應模式評估個案確立健康問題為疼痛、身體心像紊亂及疾病不適應等健康問題,護理過程中運用關懷、同理及接受技巧與個案建立良好關係,針對疼痛及身體心像紊亂提供連續性護理措施,使個案能正向面對截肢的改變,採取正向的因應行為,進而走出失落過程。

關鍵字

骨髓炎 膝上截肢 護理經驗

並列摘要


This report describes the nursing experience of caring a patient who had a drug addiction history and were suffered from right leg open fracture in a motor vehicle accident. The wound infection delayed the healing and the patient later developed chronic osteomyelitis. After multiple hospitalizations, failed antibiotic treatments and wound debridement, the patient had a right leg above-knee amputation. The patient experienced maladjustment physically and mentally during post surgery state. Based on Roy's Adaptation Model, the nursing problems were pain, body image disturbance and maladaptation. Nursing intervention for this patient included establishing a therapeutic relationship through caring and empathy, and encouraging a positive attitude toward altered body image. The patient demonstrated improvement in adjustment to the loss during a 5-week period of continuing care.

延伸閱讀