接受腹膜透析治療病童之照護

Nursing Care in Children with Continuous Ambulatory Peritoneal Dialysis

10.6340/KD.2016.28(3).10

郭美祺(Meei-Chyi Guo)；林秀蘭(Sho-Lan Lin)

兒童 ； 腹膜透析 ； 慢性腎病 ； pediatric ； peritoneal dialysis ； chronic kidney disease

腎臟與透析

28卷3期（2016 / 09 / 01）

145 - 148

繁體中文

台灣兒童罹患慢性腎病的發生率及盛行率低於全世界，主要是1991 年後實施學童每三年的尿篩及懷孕5個月孕婦免費腹部超音波檢查，以發現先天性泌尿系統異常或遺傳性腎臟疾病，但仍有少數發現時已是末期腎病變，必須透析治療。兒童並非成人的縮小版，照顧這類病童應考量成長發育需求(如注意營養攝取)、疾病認知與適應、心智年齡成熟度(成長期各階段採用不同策略)、同儕關係 (如在校適應)等因素，故需跨領域團隊的醫療照護，共同討論治療目標，提供全方位身心靈照護，以維持病童及家屬生活品質。

The incidence and prevalence of children suffering from chronic kidney disease in Taiwan is lower than other country, mainly owing to the implementation of urinary screening among children every three years and to massive abdominal sonography executed at gestational age of five months in 1991. Both of the screens aim to discover congenital urinary tract anomaly and hereditary kidney disease. However, there remain few already entered end stage renal disease status while identified. Children are not miniature adults. Such pediatric care requires development needs, recognition of disease, adaptation, mental maturity and peering relationships. Hence we provide medical care from multi-specialists, discuss the treatment goals and render the physical and spiritual support to maintain the life quality of the children and their relatives.