- 期刊
一位服藥不遵從之截肢糖尿病病人的護理經驗
Nursing Experience of Non-Adherence to Medication by a Diabetes Patient with Amputation
摘要
本報告運用健康信念模式探討一位中斷服用降血糖藥物、選擇草藥療法之糖尿病截肢患者的服藥不遵從行為，結果發現個案之服藥不遵從導因於自覺罹患糖尿病嚴重程度之認知不足、感覺藥物的療效無法符合個人對治療的期待、感受到長期服用藥物可能損害腎臟功能。於照護期間利用溝通技巧及不批判的態度與個案會談，了解個案不遵從行為背後的故事，並藉由促使個案知覺到疾病合併症的威脅，來引發個案學習的動機，並提昇個案堅信能夠做到醫護囑咐行為的信心程度。臨床上在照顧此類個案時，應完整的評估個案的健康信念，才能有效的改變其行為，減少個案因糖尿病不良控制而反覆入院，本報告可作為臨床上照護此一案例之參考。
並列摘要
This article discusses a diabetes patient who stopped medication to take herbal medicine and was hospitalized due to poor healing of a wound. The patient's non-adherence behaviors resulted from lower severity perception, lower benefit perception of taking action, and higher barrier perception in taking action. We gathered information by using communication skills and never criticizing the patient's beliefs. We induced motivation of learning by promoting the patient's perception of possible complications. We also improved the patient's confidence in accomplishing the healthy behaviors. Physicians should assess a patient's health beliefs to change his non-adherence. This will prevent furture hospitalization due to poor control of diabetes. We are glad to share this successful experience with others.
延伸閱讀
- 王小燕、劉孟芬（2013）。一位糖尿病患者接受截肢術後之護理經驗。長庚護理，24(2)，208-217。https://doi.org/10.6386/CGN.201306_24(2).0009
- 曾淑怡（2007）。一位糖尿病截肢病人術後身體心像改變之護理經驗。志為護理-慈濟護理雜誌，6(3)，117-127。https://doi.org/10.6974/TCNJ.200706.0117
- 鄭曉青、李彩緣、陳宥蓁（2019）。一位糖尿病足潰瘍面臨截肢病人之照護經驗。澄清醫護管理雜誌，15(3)，45-53。https://www.airitilibrary.com/Article/Detail?DocID=18136702-201907-201907050003-201907050003-45-53
- 李素惠（2000）。協助一位糖尿病足截肢患者哀傷過程之護理經驗。長庚護理，11(3)，48-54。https://doi.org/10.6386/CGN.200009_11(3).0006
- 黃昭貴、王慧瑜、黃兆永、陳蘭蕙、楊麗玉（2010）。The Experience of Nursing a Patient Who Received Above-knee Amputation。弘光學報，(58)，57-69。https://doi.org/10.6615/HAR.201003.58.05