應力性尿失禁患者身心復健治療—病例報告

The Nursing Experience of Assisting a Stress Urine in Continence Patient Body and Mind Rehabilitation Treatment

廖謹怡(Chin-Yi Liau) ； 傅家芸(Jia-Yun Fu)

《南臺灣醫學雜誌》 2卷1期 (2006/12) Pp. 25-29

https://doi.org/10.6726/MJST.200612_2(1).0006

摘要

本文描述一位已婚的婦女因中度應力性尿失禁的症狀接受身心復健治療的過程。這樣的困擾使該患者心生自卑，不敢與人有互動，尤其是自己的先生，雖然個案的先生能體諒個案的不便，但個案仍無法坦然以對，有著矛盾的心態。在協助個法坦然以對，有著矛盾的心態。在協助個案身心復健治療的整個過程中，運用Golden11項功能評估，發現有壓力性尿失禁、知識缺失、情境性低自尊等問題。因此筆者在門診及電訪的過程中，經由一對一、多次衛教指導與心理支持，幫助患者認識及接受該疾病的治療方式與過程，加強個案去改變自己心態的動機，最後改善了個案尿失禁的症狀並讓其重新學習接納與被接納，更敞開心胸接納另一伴的關懷。尿失禁雖然不是致命的疾病，但許多婦女卻因這些症狀而困擾，不知要如何處置、獨自承受，故醫護人員常易忽略患者的感受，其實只要尋求醫療的協助是可以改善的，筆者希望藉此護理經驗與大家分享，同時也期望喚起醫護同仁對於尿失禁護理的重視。

關鍵字

應力性尿失禁 ； 身心復健 ； 衛教指導

並列摘要

This article describes a married woman because of medium the degree urine incontinence in response to the condition of illness accepts the process of the mind and body rehabilitation treatment. Thus of the harassment makes the patient feels inferior, dare not to has interaction with others, especially with her husband. Although he can make allowance for the inconvenience of the patient but she still can't be clam with and feel self-contradict. In the whole process of help the patient mind and body rehabilitation treatment, the author makes use of Golden 11function valuation, finding to the patient suffer pressure urine incontinence, knowledge imperfection, scenario low self-respect etc. Through one by one in the out-patient service and telephone visit carry out many hygiene teaches and mental support, helping her accepting the treatment method and process of that disease and push her to change the motive of oneself mindset. Although urine continence is a fetal disease, but many women don't know how to handle and bear alone. In fact as long as look for the help of the medical treatment is improvable. Hope to share this nursing experience can promote protection idea of the urine incontinence.

並列關鍵字

urine incontinence ； mind and body rehabilitation ； hygiene education