近年由於胰臟移植手術成功率提升，為糖尿病患的未來帶來希望，因為他們終能脫離慢性合併症的折磨，進而提升生活品質；但移植失敗卻造成希望破滅，並帶來身、心折磨。本文描述一位第二型糖尿病病人，接受第三次胰臟移植手術，因害怕再度面臨移植失敗而擔心疾病癒後之加護護理經驗。護理期間運用羅氏適應模式進行評估，確立病人有急性疼痛、高危險性感染、焦慮、特定與疾病相關知識缺失與睡眠型態紊亂等健康問題。照護期間鼓勵病人說出心中不安，運用傾聽、主動關懷，增強病人自信心，並藉由專業知識減輕病人焦慮。經此照護過程令人體會移植病人所面臨之疼痛與不安，護理人員惟有深入了解病人過去的經驗與需求，才能提供個別性的護理，幫助病人走過移植後的不安與不適。

This case reports a Type 2 Diabetes Mellitus (DM) patient who settled in Intensive Care Unit ( ICU) expecting for a third pancreas transplantation. The patient was fearful of another failed surgery. Using Roy's adaptation model to evaluate the patient, it was found that he had pain, infection, anxiety, lack of knowledge, and disturbed sleep pattern. Patient was encouraged to describe his anxiety. Nurses used skills like listening, reinforcing patient's faith, and providing professional knowledge in releasing patient's anxiety. By knowing patient's physical pain, anxiety and needs during nursing process, better individual nursing care can be provided and help patients go through illness and anxiety.