A Nursing Experience of a Patient with Preliminary Pulmonary Tuberculosis
蔡梅蘭(Mei-Lan Cai)；林雅蘋(Yea-Pyng Lin)
肺結核 ； 焦慮 ； 隔離 ； tuberculosis ； anxiety ； isolation
|Volume or Term/Year and Month of Publication||
11卷1期（2010 / 04 / 01）
101 - 115
This article explores the nursing experience of a patient with preliminary diagnosis of pulmonary tuberculosis (TB). The patient was stressed with fear of isolation and lack of knowledge about the disease. The period of nursing care lasted from March 19 to April 10, 2008. The author collected data by means of direct care, nursing documentation, observation, and detailed interview. Gordon's 11 functional health patterns were used as the framework for patient assessment. With data analysis, identified nursing problems were fever, lack of knowledge about disease, and anxiety secondary to social isolation. Through active care, the author and the patient established a therapeutic relationship with mutual trust. With active listening and effective communication, the author encouraged the patient to express his own feelings. The patient's anxiety was reduced with the nurse's support. Individualized comfort measures were provided for the patient's fever and safety. Under the nurse's systemic guidance, the patient understood the disease process and self care. The patient was more proactive in participating in social activities, which improved the issue of isolation. Through the effective referral system, the patient could receive continuous care and follow up after discharge from the hospital. Nursing care of the patient with TB not only focuses on the issues of physical symptoms and patient education, but also emphasizes individualized psychological needs for the purpose of fostering a healthy attitude toward future life.
醫藥衛生 > 社會醫學