運用周全性老年評估於一位急性低血糖老年人之護理經驗

Nursing Experience of a Frail Older Adult with Acute Hypoglycemia

10.6692/KJN.202304_40(1).0012

黃靖惠(Jing-Huei Huang)；林佩昭(Pei-Chao Lin)

低血糖 ； 衰弱症 ； 老年人 ； hypoglycemia ； frailty ； older adults

高雄護理雜誌

40卷1期（2023 / 04 / 01）

142 - 152

繁體中文;英文

本文敘述一位急性低血糖併衰弱老年女性之護理經驗。2020年12月9日至12月21日藉身體理學檢查、觀察、病歷閱讀及會談，進行護理評估。確立個案有糖尿病認知不足、活動功能障礙、營養少於身體所需、社會支持功能不足及潛在危險性損傷－跌倒等健康問題。護理師與營養師共同提供個案及照顧者個別性的血糖自我照顧及營養需求之衛教指導。護理師與復健團隊提供早期活動的介入使病人順利出院。與出院準備服務個案管理師提供居家的長照資源，獲得持續性照顧。高齡者常因病住院後，產生衰弱相關照護需求。建議醫院照護人員能跨專業團隊著重於提供持續照護，積極與照顧者擬定計畫並執行，提升病人返家後生活品質，減少再入院。

This article describes a nursing experience for a frail elderly woman with acute hypoglycemia. From December 9th to December 21st, 2020, a nursing assessment was conducted through physical examination, observation, medical record review and interviews. It was established that the patient had health problems including inadequate knowledge and awareness of diabetes mellitus, motor dysfunction, and potentially dangerous injury from falling. Registered nurses and dietitians worked together to provide health education guidance on individual blood glucose self-care and nutritional needs for the case and her caregiver, while the nurses and rehabilitation team provided early intervention to enable the patient to be discharged from the hospital smoothly with the case manager providing long-term care resources at home to care for discharge preparation services. Older adults often have frailty-related care needs after being hospitalized due to illness, so it is recommended that healthcare professionals focus on providing continuous care across multidisciplinary professional teams while actively formulating and implementing plans with caregivers to improve the quality of life of patients after returning home, thereby reducing readmissions.

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