一位青光眼病人接受亞曼氏引流管手術後門診追蹤的護理經驗

本文探討一位30歲青光眼女性，接受亞曼氏引流瓣膜手術後門診追蹤的護理經驗。照護期間為2013年3月19日至7月20日，藉由個案回診追蹤、電話關懷與會談方式來收集資料，確立有視覺改變、社交隔離及無望感的健康問題。手術後視覺改變，影響個案獨立外出活動，產生社交隔離的不安情緒，因術後併發高眼壓症，因反覆接受穿刺引流治療及高度失明的風險下，引發對疾病及未來的無望感。透過醫護團隊合作及成功案例分享，適時引導家人及朋友給予關懷，建立個案對疾病治療的信心及學習青光眼術後日常生活照護。筆者期望此護理經驗，提供未來門診護理人員照顧相關疾病之參考。

關鍵字

青光眼；亞曼式引流瓣膜手術；無望感

並列摘要

This study is an outpatient follow-up and nursing experience of a 30-year-old female glaucoma patient who underwent Ahmed glaucoma valve implantation. The nursing period lasted from March 19 to July 20, 2013. Through outpatient follow-up, phone follow-up, and interviews, it was determined that the patient experienced visual perception change, social isolation, and hopelessness. The visual perception change after surgery had adversely affected the patient by prohibiting her from venturing outside her residence independently, and resulted in the development of social isolation induced anxiety; the postoperative ocular hypertension, coupled with repeated puncture drainage treatment and high risk of vision loss, had led to hopelessness of the future. We established the patient's confidence in disease treatment and the acquisition of routine postoperative glaucoma care through medical teamwork and sharing of successful cases, as well as timely facilitation of care from family and friends. This nursing care experience can serve as a reference for future nursing personnel caring for patients with related diseases.