協助一位老年糖尿病足病人面對截肢術後的護理經驗

The Nursing Experience for an Old Age Patient of Diabetic Foot, Who Undergoes Amputation Surgery

蔡妙琦(Miao-Chi Tsai) ； 徐敏芬(Min-Fen Hsu)

《台灣健康照顧研究學刊》 6期 (2009/03) Pp. 41+43-54

https://doi.org/10.29750/TJTHCA.200903.0003

摘要

糖尿病病人截肢術後生活上將有重大改變，對老年糖尿病病人來說更是一大衝擊。本文即探討一位74歲老年糖尿病足病人在接受截肢手術後所面臨的問題，在2005.08.24-09.23照護期間，採直接護理、觀察及會談方式收集資料，並運用Gordon的十一項功能性健康型態評估，發現個案有現存性傷口感染、疼痛、身體心像紊亂、身體活動功能障礙之護理問題，在與個案及家屬建立良好的治療性人際關係後，運用同理心及醫療團隊合作下，協助個案接受截肢的事實，減輕幻肢痛和傷口疼痛與控制傷口感染，並教導學習活動及輔助器使用的技巧。使其早期恢復日常生活功能，增加自我照顧能力及協助建立接納身體功能限制的事實，強化適應能力，重新面對截肢後的生活。

關鍵字

糖尿病足 ； 截肢

並列摘要

The life of a diabetes patient after amputation will change significantly, so it tremendous impact to the old age diabetes patient. The purpose of this article is to present the nursing care experience of a 74-year-old patient suffering diabetic foot and facing the amputation surgery. From August 24 to September 23, 2005, the author adopted the techniques of direct nursing, observation, conversation, data collection, and used the criterion of Gordon to estimate the functional health of the patient. The results showed the patient has wound infection, pain, body image disturbance, and impaired physical mobility deviated problems. After establish the good nurse-patient relationship with the patient and the family members, we utilized the sympathy and the medical team cooperation to assist the patient to face the amputation, reduce the imaginary extremity pain and the wound ache and control wound infection. We also guided him the activity and assist him use skill. Makes it early to restore daily life, increase the self- care ability, assist him to admit the body image, strengthen adaptive ness, and assist patient to get adaptation of amputation.

並列關鍵字

Diabetic foot ； amputation