一位非胰島素依賴型女性糖尿病患者之護理過程－Orem理論之臨床應用

The Nursing Process of a Non-Insulin-Dependent Female Diabetic-A Clinical Application of the Orem's Theory

楊雅娟(Y. C. Yang)

《長庚護理》 8卷4期 (1997/12) Pp. 57-67

摘要

糖尿病是目前流行率最高的慢性病之一，經由先進的醫學治療，糖尿病思的存活率較以前提高，但相對的亦須面對慢性病所帶來的許多問題；本文是採用歐倫自我照顧理論爲架構來探討一位因糖尿病合併泌尿道感染而入院治療的病患，和糖尿病相處了二十多年卻對糖尿病一無所知時所面臨的種種問題。護理期間自民國八十五年八月十日至八十五年八月二十二日，藉著觀察、會談蒐集了六篇護病互動記錄加以分析整理，在護理過程中，以歐倫護理系統進行評估，並確立了潛在件體溫改變、身體活動功能障礙、營養狀況多於身體需要及知識不足致組織完整性受損四項主要問題，提供部分代償院護理措施，來協助病患認知疾病和面對合併症的因應之道、同時教導病患家屬支持病人，使其發揮自我照顧的功能共同度過疾病的不穩定期。

關鍵字

非胰島素依賴型

並列摘要

Diabetes is one of the most epidemic chronic diseases at the present time. With the aid of the treatment with advanced medicine, a diabetic can live much longer than ever before but has to face the many problems coming along with a chronic disease. This article tries to use Orem's theory of self-care as a basis to explore the numerous problems which were encountered by a diabetic who was hospitalized because of the complications of diabetes and infected urinary canal and who knew nothing about diabetes al though she had lived with the disease for twenty years. The nursing lasted from August 10、1996 to August 22, 1996. Armed with observations, interviews, and analyses and syntheses of the six records of the nurse-and-patient interaction, the Writer tries in the nursing process to apply the Orem's nursing system to evaluate and establish the four major issues of dormant body temperature change, functional obstacles of physical movement, more nutrition than needed by body and the impaired organizational integrity caused by deficiency of knowledge-and provide remedialnursing measures to help the patient to have a better knowledge of the disease to deal with the complications, and at the same time guide the patient's family members to help the patient to take care of herself and tide over the period of uncertainly during sickness.

並列關鍵字

Non-Insulin-Dependent