照顧一位壯年病人初次接受腹膜透析治療之護理經驗

Nursing Experience of a Young Patient Receiving Initial Peritoneal Dialysis

蘇台其(Tai-Chi Su) ； 呂淑綺(Shu-Chi Lu)

《腎臟與透析》 31卷3期 (2019/09) Pp. 153-156

https://doi.org/10.6340/KD.201909_31(3).0010

摘要

探討一位顯性遺傳性多囊腎（autosomal dominant polycystic kidney disease）病患者在面臨接受腹膜透析時的生理、心理問題之護理經驗。筆者運用Gordon十一項健康功能型態為評估架構，確立的健康問題有：潛在危險性感染、疼痛、知識缺失。在護理過程中透過主動的關懷與個案建立良好的護病關係，並與病房的照護團隊及主治醫師合作提供個別性護理，個案終能達到預防因腹膜透析導管植入而感染、解決疼痛問題及瞭解腹膜透析進而能正確執行腹膜透析，使個案提升自我照顧能力，回復日常生活。

關鍵字

感染 ； 疼痛 ； 腹膜透析自我照護

並列摘要

This report is to disclosure the physiological and psychological care experience of a patient with autosomal dominant polycystic kidney disease proceeding the initial peritoneal dialysis. Under the evaluated structure of the Gordon 11 Function Health Patterns, these health problems of this patient are confirmed: potential risk infections associated, pain, and lack of knowledge. Through active care and establishing a good relationship with the patient, providing individual care from nursing and physician team, the patient eventually had improved self-care ability back to daily life within the prevention of peritoneal dialysis catheter implantation and infection, solving the problem of pain and understanding of peritoneal dialysis and then the correct implementation of peritoneal dialysis.

並列關鍵字

infection ； pain ； peritoneal dialysis self-care