照顧一位初次罹患肺結核服藥不遵從患者之護理經驗

汪郁馨; 黃淑芬; 陳素惠; 李麗紅

doi:10.6647/CN.201806_25(2).0011

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P67 - 78

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6647/CN

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照顾一位初次罹患肺结核服药不遵从患者之护理经验

Nursing Experience of Caring for a Medication Noncompliance Patient with Newly Diagnosed Tuberculosis

汪郁馨(Yu-Hsin Wang) ；黄淑芬(Shu-Fen Huang) ；陈素惠(Su-Hui Chen) ；李丽红(Li-Hung Lee)

彰化护理； 25 卷 2 期 (2018 / 06 / 01) ， P67 - 78

繁体中文 DOI： 10.6647/CN.201806_25(2).0011

肺结核；焦虑；不遵从；隔离； tuberculosis ； anxiety ； noncompliance ； isolation

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摘要 │ 参考文献 (11) │ 被引用文献 (3) │ 国际计量

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This article describes the nursing experience of caring for a medication noncompliance patient with newly diagnosed tuberculosis. One of the authors took care of this patient from February 19 to March 28, 2016. Guided by Gordon's 11 Functional Health Patterns, patient's information was collected via physical assessment, observation, interviews and patient's healthcare document. Imbalanced nutrition: less than body requirements, noncompliance, anxiety, and social isolation were identified as the patient's health problems. The nurse built therapeutic interpersonal relationships with the patient, and constantly applied active listening skills to encourage the patient to express his feelings. Watching to the Tuberculosis Video, reading Question-and-Answering section provided by Centers for Disease Control, Ministry of Health and Welfare, Taiwan, to help the patient to increase the understanding of the disease. The nurse also encouraged the patient to participate his own health care activities by noting down medication taking list and writing diaries to enhance disease management. Encouraging the patient took high calories, high protein and vitamins food and to learn about the adequate daily portions followed by the guidance of ＂Food and Nutrition Handbook＂ published by Health Promotion Administration, Taiwan. In order to diminish nausea and increase appetite, the nurse taught the patient and his families to make tea by using dried citrus skin or tea leaves. Additionally, the nurse arranged patient education program and introduced support group to share information, provide psychological support and encouragement to regain confidence and hope. Taking care of the patient both physically and psychologically, the nurse helped the patient to view his future life positively. It is recommended that nurses not only provide health care, but also need to assess the patient's individuality to provide appropriate interventions. The nursing in-service education program should include patient's psychological assessment, communication and counselling skills and experience sharing from experts to enhance the nurse's competencies. We hope to share this experience with the nurse who faces the similar situation.

参考文献 ( 11 ) 〈TOP〉

Atif, M.,Sulaiman, S. A. S.,Shafie, A. A.,Asif, M.,Sarfraz, M. K.,Low, H. C.,Babar, Z. U. D.(2014).Impact of tuberculosis treatment on health-related quality of life of pulmonary tuberculosis patients: a follow-up study.Health and Quality of Life Outcomes,12(1),19.
Biya, O.,Gidado, S.,Abraham, A.,Waziri, N.,Nguku, P.,Nsubuqa, P.,Sabitu, K.(2014).Knowledge, care-seeking behavior, and factors associated with patient delay among newly-diagnosed pulmonary tuberculosis patients, Federal Capital Territory, Nigeria, 2010.Pan African Medical Journal,18(1),6.
Duko, B.,Gebeyehu, A.,Ayano, G.(2015).Prevalence and correlates of depression and anxiety among patients with tuberculosis at WolaitaSodo University Hospital and Sodo Health Center, WolaitaSodo, South Ethiopia, cross sectional study.BMC Psychiatry,15,214.
McGinley, E.(2014).The role of nutrition in the management of COPD patients.Journal of Community Nursing,28(4),50-58.
Miyata, S.,Tanaka, M.,Ihaku, D.(2013).The prognostic significance of nutritional status using malnutrition universal screening tool in patients with pulmonary tuberculosis.Nutrition Journal,12,42.

被引用文献 ( 3 ) 〈TOP〉

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