照顧一位中年男性因周邊動脈疾病面臨截肢之護理經驗

Shu-chuan Hsiao; Jung-Chen Lee; Pei-Lin Liu; Pei-Chao Lin

doi:10.29494/LN.202306_24(2).0007

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来源数据

P84 - 100

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.29494/LN

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照顾一位中年男性因周边动脉疾病面临截肢之护理经验

Nursing Experience in Caring for a Middle-aged Male Patient Facing Amputation Due to Peripheral Arterial Disease

萧淑娟(Shu-chuan Hsiao) ；李荣真(Jung-Chen Lee) ；刘佩伶(Pei-Lin Liu) ；林佩昭(Pei-Chao Lin)

领导护理； 24 卷 2 期 (2023 / 06 / 01) ， P84 - 100

繁体中文;英文 DOI： 10.29494/LN.202306_24(2).0007

周边动脉疾病；截肢；中年男性； peripheral arterial disease ； amputation ； middle-aged male

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摘要 │ 参考文献 (11) │ 国际计量

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A middle-aged male patient, who inadvertently suffered from burn wounds and also complicated peripheral arterial disease, facing right lower limb amputation, encountered multiple health problems after amputation. From June 14th to July 4th, 2020, based on physical, psychological, social and spiritual aspects, was assessed through direct care, observations, and therapeutic interviews. It was determined that the health issues included peripheral arterial perfusion change, acute pain, body image disturbance; physical activity dysfunction and knowledge enhancement readiness. Establishing a positive body image by encouraging the patient to express his feelings about changes in appearance; providing medication and non-pharmacological management to relieve pain and using mirror therapy to improve phantom limb pain; using residual limb muscle training and progressive rehabilitation to enable the patient to use assistive devices to move himself before being discharged from the hospital; providing post-discharge care education about amputation wounds and prevention of peripheral arterial disease to improve the patient's nursing knowledge and preparation; and building confidence in self-care and coping were all applied in a timely manner. The psychological impact of amputation for patients with peripheral arterial disease and preparation for future response must be intervened as soon as possible after amputation. However, due to the limited resources and information of patient care groups, intervention of social support for patients is time-consuming. It is hoped that through sharing this nursing experience, the hospital nurses will be reminded that in addition to physical discomfort, they can also provide comprehensive assessment and care of psychological, social and spiritual problems when caring for patients after amputation. It is recommended to take demographic characteristics, the cause of amputation, the motivation of coping, self-care ability, and the degree of family as well as social support into consideration when providing patients with individualized measures and continuous care resources after discharge from the hospital.

参考文献 ( 11 ) 〈TOP〉

Bennett, J.(2016).Limb loss: The unspoken psychological aspect.Journal of Vascular Nursing,34(4),128-130.
Parnell, B.,Urton, M.(2021).Rehabilitation nursing challenges for patients with lower limb amputation.Rehabilitation Nursing,46(3),179-184.
Richardson, C.,Kulkarni, J.(2017).A review of the management of phantom limb pain: Challenges and solutions.Journal of Pain Research,10,1861-1870.
Sayeed, M. S. I.,Oakman, J.,Dillon, M. P.,Stuckey, R.(2021).Influential factors for access to and participation in rehabilitation for people with lower limb amputation in East, South, and Southeast Asian developing countries: A scoping review.Disability and Rehabilitation,44(25),8094-8109.
Simsek, N.,Oztürk, G. K.,Nahya, Z. N.(2020).The mental health of individuals with post-traumatic lower limb amputation: A qualitative study.Journal of Patient Experience,7(6),1665-1670.

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