腹膜透析包囊性腹膜硬化症病人轉血液透析之照護

Experience of Nursing Care in a Peritoneal Dialysis Patient With Encapsulating Peritoneal Sclerosis When Shifting to Hemodialysis Therapy

王郁薇(Yu-Wei Wang) ； 張育誌(Yu-Tzu Chang)

《腎臟與透析》 32卷2期 (2020/06) Pp. 103-106

https://doi.org/10.6340/KD.202006_32(2).0011

摘要

本文為描述一位腹膜透析病人罹患包囊性腹膜硬化症後轉至血液透析的調適過程。照護期間運用生理、心理、社會、靈性四大層面來收集資料，確立個案有營養不均衡、血管通路功能失效、不確定感之健康問題。經由提供營養衛教，改善握球工具並教導阻力運動，藉由傾聽、溝通、提供疾病正確訊息，降低對預後的不確定感，協助個案有勇氣不再懼怕血液透析，且能以正向積極的態度面對日後的透析生活。

關鍵字

腹膜透析 ； 包囊性腹膜硬化症 ； 動靜脈瘻管

並列摘要

In this article, we shared our experience to show how a peritoneal dialysis nurse cares for a patient with encapsulating peritoneal sclerosis when shifting the dialysis modality. During the period of medical care, we collected four domains of information including physiology, psychology, society, and spirituality from this patient. The problems of malnutrition, vascular access failure, and uncertainty in illness were first identified. Then we designed a series of care plans to improve her physical and psychological condition, quality of life, and reduce uncertainty in illness, including nutrition and disease education programs, technics for shunt care, resistance exercise, and listening and communicating. Through these procedures, we successfully convinced the patient to keep on hemodialysis with a positive attitude rather than fear.

並列關鍵字

peritoneal dialysis ； encapsulating peritoneal sclerosis ； arteriovenous fistula