- 期刊
一位多重抗藥之開放性肺結核病人護理經驗
A Nursing Experience of a Patient with Open Tuberculosis Resistant to Multiple Drugs
摘要
結核病是全球公共衛生重要議題，亦是社會文明的指標性疾病之一。多年來我國雖投入相當多之人力、物力，但結核病防治上卻落居全球第六十名。感染結核病對病人的生理及心理都是一種考驗，病人常因疾病所必須採取的隔離措施而產生一些護理問題。本篇報告是描述一位罹患開放性肺結核，且多重抗藥之個案，在2007年2月22日至5月2日門診期間的護理照護過程。筆者採用參與式照護、會談與電訪等方式收集相關資料，以Gordon十一項健康功能型態評估，並同時參閱文獻加以分析整理，歸納出個案三個主要健康問題包括：知識缺失－抗結核藥物治療／與缺乏資源有關、潛在危險性皮膚完整性受損、社交互動障礙／和他人的互動障礙／治療性隔離，藉由深入的評估，給予個別性、整體且連續性的護理，藉由提供相關之衛教訊息，加強個案對疾病的認識，協助個案得以解決上述之護理問題，並能提供護理人員於日後照護開放性肺結核之病人時，有一參考之依據。
並列摘要
Tuberculosis is a major worldwide public health issue and it is also one of the representing diseases for social civilization. Although the government of Taiwan has put a lot of effort into the prevention and treatment of tuberculosis, it was ranked at the 60(superscript th) in the world. The patient with tuberculosis faces both physiological and psychological challenges, especially physical isolation due to the disease. This article described an out-patient nursing process for a patient with open tuberculosis resistant to multiple drugs. Data were collected through daily clinic care and face-to-face or telephone interview from February 22 to May 2, 2007. Data were analyzed and compiled based on Gordon 11-items functional health pattern assessment and literature review. Three major health problems were identified: deficient of knowledge on anti-tuberculosis mediation, risk for impaired skin integrity, and impaired social interaction secondary to isolated treatment. With an in-depth assessment, the patient received integral and continual individualized care. With the provision of tuberculosis related education material, the patient understood and solved disease-related care issues. This article can be used as a reference for nurses taking care of patients with open tuberculosis.
延伸閱讀
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