一位神經性厭食症病患之護理經驗

A Nursing Experience with a Case of Anorexia Nervosa

10.6847/TJPMHN.200912_4(2).0008

陳雅郁(Ya-Yu Chen)

神經性厭食症 ； 飲食障礙症 ； 護理照護 ； anorexia nervosa ； eating disorder ； nursing care

精神衛生護理雜誌

4卷2期（2009 / 12 / 01）

66 - 73

繁體中文

本文為照護一位罹患神經性厭食症(anorexia nervosa)病患之內科護理經驗。照護期間為95年6月29日至7月9日，運用Gorden's十一項功能性評估收集資料，確立個案因罹患厭食症導致身心問題。個案之主要健康問題包括：營養狀況改變／少於身體所需、身體心像紊亂、睡眠型態紊亂、活動無耐力等。護理重點是與個案共同決定促進健康的目的，並藉由加強個案對疾病認知及自我照顧技巧，達到個別性、整體性的護理目標。

This article reports the experience of providing medical nursing care to a patient suffering from anorexia nervosa. The care was provided from June 29(superscript th) 2004 to July 9(superscript th) 2004. The diagnosis of anorexia nervosa was established from the clinical nursing, with evaluation on the basis of Gorden's criteria. The main nursing problems were altered nutrition and nutrition falling short of the body's demands, bizarre body image, sleep disturbance, and exertional intolerance. The focus in nursing is to co-operate with the patient to establish the goal of being healthy and to strengthen the patients’ cognition of the disease and ability to take care of him or herself. In such ways we achieve both the integrated and the individualized goals of nursing care.