行腹部手術病人住院期間罹患登革熱之護理經驗

Nursing Experience of Dengue Fever in the Hospitalization Period of Abdominal Surgery Patients

10.6692/KJN.202004_37(1).0007

陳亭伊(Ting-Yi Chen)；李怡珍(Yi-Chen Lee)

登革熱 ； 腹部手術 ； 憩室炎 ； dengue fever ； abdominal surgery ； diverticulitis

高雄護理雜誌

37卷1期（2020 / 04 / 01）

75 - 87

繁體中文

住院罹患非預期的另一種疾病，容易讓人焦慮不安。本文敘述一位70歲的憩室炎患者，住院行腹部手術期間又罹患登革熱之護理經驗，護理期間自2015年9月21日至10月3日，筆者運用Gordon十一項功能性健康型態評估，確立個案有急性疼痛、營養少於身體所需、焦慮及特定知識缺失等健康問題。照護期間，運用疼痛緩解措施，減輕個案傷口及疾病產生的疼痛，同時與醫療團隊及個案共同訂定個別性營養計畫，採少量多餐方式，達到身體所需的熱量，並傾聽個案感受，引導個案說出內心想法，運用團隊資源提供並澄清相關傳染疾病防護知識，減輕擔憂疾病預後的焦慮，並強化個案對疾病的因應能力，避免再次感染。藉此護理經驗與其他醫療人員分享，做為此類病人照護之參考。

It is easy to be anxious about having an unexpected illness in hospital. This article describes the nursing experience of a 70-year-old diverticulitis patient who suffered from dengue fever during an inpatient abdominal operation. During the protection period from September 21, 2015 to October 3, the writer used Gordon's 11 Functional Health Assessment program, then determined the case experienced acute pain, had less nutrition than normal body requirements, anxiety, and lacked specific knowledge. During the care period, pain relief measures were applied to reduce the pain caused by the wounds disease. At the same time, the author worked with the medical team and the patient to formulate an individual nutrition plan. The patient was guided to express his inner thoughts, team resources were used to provide and clarify relevant infectious disease protection knowledge, reduce anxiety about the prognosis of the disease, and strengthen the patient's ability to respond to the disease to avoid reinfection. It is hoped this nursing management experience can be shared with other medical staff as a reference for the care of such patients.