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題名:肝硬化病人之臨床護理問題
書刊名:榮總護理
作者:鄭秀容
作者(外文):Cheng, Hsiu-jung
出版日期:2004
卷期:21:2
頁次:頁188-196
主題關鍵詞:肝硬化護理Liver cirrhosisNursing
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(6) 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:6
  • 共同引用共同引用:2
  • 點閱點閱:11
肝硬化合併症在台灣是一重要死因(林、簡,2000),台灣地區每年約有4000人死於肝硬化,在臨床上對肝硬化的治療卻只能提供消極性的症狀治療或侵襲性的手術治療,目前唯一能根治的方法為肝臟移植(胡,2001a)。肝硬化為慢性病之一,臨床上的問題是長期而多樣性的,不僅帶給病患痛苦及困擾,也帶給家屬在照顧上極大的心理負擔與經濟壓力。本文藉由文獻探討肝硬化之病因、合併症及治療,提出9個常見之臨床護理問題及相關護理措施,並呼籲護理人員除了需評估病患之病況變化及身體症狀外,更需依病患接受之各種檢查、治療、合併症給予適當的衛教與護理計劃,同時亦應評估並協助解決病患與家屬的心理或經濟問題,以減少病患症狀困擾與家屬的負擔和壓力,如此才能發揮真正的護理功能,提供以病人為中心的整體性護理。
The complication of liver cirrhosis is one of the important causes of death in Taiwan, where in about 4000 people died from liver cirrhosis every year. The management for liver cirrhosis clinically can only relieve symptoms or provide invasive surgery. The only way to cure liver cirrhosis is by liver transplantation, but few patients have this chance. Liver cirrhosis is one of the chronic diseases inducing long-term and various problems. It not only brings patients discomfort, but also causes family caregivers burdens: both mental and economical stresses. According to the literature about liver cirrhosis, nine nursing problems and relative nursing interventions were provided. Besides, the results also suggest that all the nurses should not only assess patients' physical problems, but also provide nursing care plans according to patients' examinations, cures and complications. The mental and economic problems of patients and family caregivers also should be assessed and solved in order to decrease the physical symptoms of the patients and mental stresses of the families. In this way, nurses can provide holistic and patient-centered nursing cares.
期刊論文
1.林偉彬、簡榮南(20000900)。成年肝硬化病患之腹水控制原則。當代醫學,27(9)=323,15-20。  延伸查詢new window
2.胡志棠(20010900)。肝硬化--臨床篇。當代醫學,28(9)=335,72-79。  延伸查詢new window
3.胡志棠(20011000)。肝硬化--臨床篇。當代醫學,28(10)=336,70-78。  延伸查詢new window
4.王香蘋(19971000)。慢性病發展與長期照護政策。弘光學報,30,99-112。new window  延伸查詢new window
5.羅錦河(19940600)。肝硬化腹水之治療。臺灣醫界,37(6),33-35。  延伸查詢new window
6.劉祖德、侯明志(20010700)。門脈高壓胃病變。臨床醫學,48(1)=283,73。new window  延伸查詢new window
7.羅錦河(19950300)。急性胃食道靜脈瘤出血之治療。臺灣醫界,38(3),24-28。  延伸查詢new window
8.Arroyo, V.、Gines, P.、Planas, R.(1992)。Treatment of ascites in cirrhosis. Diuretics, peritoneovenous shunt, and large-volume paracentesis。Gastroenterology Clinic of North America,21(1),237-256。  new window
9.Comar, K. M.、Sanyal, A. J.(2003)。Portal hypertensive bleeding。Gastroenterology Clinic of North America,32(4),1079-1105。  new window
10.Gimson, A. E. S.、Ramage, J. K.、Panos, M. Z.、Hayllar, K.、Harrison, P. M.、Williams, R.、Westaby, D.(1993)。Randomised trial of variceal banding ligation versus injection sclerotherapy for bleeding oesophageal varices。Lancet,342(8868),391-394。  new window
11.Lo, G. H.、Lai, K. H.、Ng, W. W.、Tam, T. N.、Lee, S. D.、Tsai, Y. T.、Lo, K. J.(1992)。Injection sclerotherapy preceded by esophageal tamponade versus immediate sclerotherapy in arresting active variceal bleeding: a prospective randomized trial。Gastrointestinal Endoscopy,38(4),421-424。  new window
12.Kim, Y. S.、Um, S. H.、Ryu, H. S.、Lee, J. B.、Lee, J. W.、Park, D. K.、Jin, Y. T.、Chun, H. J.、Lee, H. S.、Lee, S. W.、Choi, J. H.、Kim, C. D.、Hyun, J. H.(2003)。The prognosis of liver cirrhosis in recent years in Korea。Journal of Korean Medical Science,18(6),833-841。  new window
13.Katsuta, Y.、Aramaki, T.、Sekiyama, T.、Satomura, K.、Okumura, H.、Okumura, K.(1993)。Plasma volume contraction in portal hypertension。Journal of Hepatology,17(2),19-23。  new window
14.Hata, Y.、Hamada, E.、Takahashi, M.、Ota, S.、Ogura, K.、Shiina, S.、Okamoto, M.、Okudaira, T.、Teratani, T.、Maeda, S.、Koike, Y.、Sato, S.、Obi, S.、Tanaka, T.、Kawabe, T.、Shiratori, Y.、Kawase, T.、Nomura, M.、Omata, M.(1999)。Endoscopic variceal ligation is a sufficient procedure for the treatment of oesophageal varices in patients with hepatitis C liver cirrhosis: comparison with injection sclerotherapy。Journal of Gastroenterology and Hepatology,14(3),236-240。  new window
15.Verne, G. N.、Soldevia-Pico, C.、Robinson, M. E.、Spicer, K. M.、Reuben, A.(2004)。Autonomic dysfunction and gastroparesis in cirrhosis。Journal of Clinical Gastroenterology,38(1),72-76。  new window
16.Martin, C.、Nisa, M.(1996)。Meeting the needs of children and families in chronic illness and disease. A greater role for the GP?。Australia Family Physician,25(8),1273-1275+1277+1279-1281。  new window
17.Mackay, G. J.、Henderson, J. M.(1992)。Update on the management of variceal bleeding。Journal of the American Academy of Physician Assistants,5(3),165-177+51A。  new window
18.Butler, R. W.(1994)。Managing the complications of cirrhosis。American Journal of Nursing,94(3),46-49。  new window
圖書論文
1.吳明瑞、林棱傑、徐正一、陳逸川(1998)。腸胃疾病的診斷及處理方法。內科學精華。臺北:合記。  延伸查詢new window
2.謝博生、楊泮池、林肇堂、江福田(1993)。肝膽胰疾病。內科學。臺北:金名。  延伸查詢new window
3.許世昌(1993)。消化系統。最新實用解剖生理學。臺北:永大。  延伸查詢new window
4.高雪芬、盧惠文、陳敏麗(1990)。肝膽及胰臓系統。護理檢驗手冊。臺北:華杏。  延伸查詢new window
 
 
 
 
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