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題名:照護一位接受「活體捐腎手術」母親之護理經驗
書刊名:護理雜誌
作者:林美秀翁麗雀
作者(外文):Lin, Mei-hsiuWeng, Li-chueh
出版日期:2003
卷期:50:2
頁次:頁99-104
主題關鍵詞:活體捐贈腎移植母親Living organ donorRenal transplantationMotherhood
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:4
  • 點閱點閱:33
     本篇個案報告是敘述一位接受「活體捐腎手術」母親的護理經驗。以Gordon十一項健康功能為評估指引,發現個案雖對於捐出腎臟的意願堅定,但仍有自責、怨老天不公平的情緒,且不了解腎臟手術方式及預後,有較不切實際的期待。在接受捐腎手術後,本身遭受手術後急性疼痛,且擔心兒子腎移植手術的預後,呈現出焦慮、知識缺失等問題。在護理過程中筆者運用護理指導、傾聽、陪伴、引導其說出心中感受及情緒之抒發、並配合醫師給予說明捐腎手術的合併症及照護、提供適宜的疼痛處理及引導家屬提供心理支持等,增進個案對捐腎及腎移植的了解,減輕其焦慮與疼痛情形。現今探討有關接受活體捐贈者的照護文章並不多,期望此篇報告之內容能做為相關照護計劃之參考。
     This case report describes the experience of the nursing care of a patient undergoing surgery to make a living kidney donation. The Gordon 11-item Functional Health Pattern was used as an assessment tool to assess the client's health problems. Although having the confidence to donate a renal organ, the client had several emotional frustrations, including self-blame and guilt. After surgery, the patient's major problems were pain, anxiety, and knowledge deficit. In order to increase the understanding of the renal transplantation, alleviate the level of anxiety and pain suffered, we taught the patient and her family related knowledge, listened to and accompanied the patient, provided appropriate pain management, and encouraged family members to provide mental support. There was little literature discussing the care of living kidney donors. We hope this report can serve as a reference for planning the nursing care of living donors.
期刊論文
1.Motyka, M.、Motyka, H.、Wsolek, R.(1997)。Element of psychological support in nursing care。Journal of Advanced Nursing,26(5),909-912。  new window
2.Evans, D.(2002)。The effectiveness of music as an intervention for hospital patients: A systematic review。Journal of Advanced Nursing,37(1),8-18。  new window
3.陳至全(19960600)。器官移植的困境與器官捐贈的探討。心身醫學,7(1),25-27。  延伸查詢new window
4.柯文哲(20000500)。器官捐贈。臺灣醫學,4(3),275-281。  延伸查詢new window
5.林智生、張家禎(20010800)。慢性疼痛之臨床評估與處置。基層醫學,16(8),199-203。  延伸查詢new window
6.沈楚文(19880400)。器官移植的心理精神問題。臨床醫學,21(4)=124,306-310。new window  延伸查詢new window
7.Johnson, Eric M.、Anderson, J. Kyle、Jacobs, Cheryl、Suh, Gina、Humar, Abhinav、Suhr, Benjamin D.、Kerr, Stephen R.、Matas, Arthur J.(1999)。Long-term follow-up of living kidney donors: quality of life after donation。Transplantation,67(5),717-721。  new window
8.Jackson, I.(1997)。Coping with stress。Nursing Times,93(29),31-33。  new window
9.Fukunishi, I.、Shindo, M.、Ohara, T.、Kobayashi, M.、Aikawa, A.、Hasegawa, A.(1998)。“Paradoxical depression” in a living female donor after kidney transplantation。Psychosomatics,39(4),396-397。  new window
10.Fehrman-Ekholm, I.、Elinder, C. G.、Stenbeck, M.、Tyden, G.、Grom, C. G.(1997)。Kidney donors live long。Transplantation,64(7),976-978。  new window
圖書
1.McFarland, G. K.、McFarland, E. A.(1993)。Nursing diagnosis and intervention: Planning for patient care。St. Louis, MO:Mosby-Year Book。  new window
 
 
 
 
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