根据 Riehl 符号互动模型对重症监护病房慢性肾衰竭患者的护理:病例报告

Meltem Kalayci, Nermin Olgun
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引用次数: 0

摘要

导言:慢性肾衰竭是世界和土耳其常见的健康问题之一。血液透析是最广泛使用的肾脏替代疗法之一。Riehl的符号互动模型则是基于护士与患者之间的互动。在本病例报告中,我们在里尔符号互动模式的范围内,为一名被诊断为慢性肾衰竭、在重症监护室接受机械通气支持治疗的患者制定了护理计划。病例报告:H.D. 是一名 66 岁的女性患者。患者正在进行血液透析,因主诉意识障碍、极度虚弱、无法说话以及透析后在家出现呼吸困难而被救护车送到急诊室。患者被诊断为慢性肾衰竭,需要进行血液透析,因此被送入三级重症监护病房。结论根据 Riehl 的符号互动模型确定的护理诊断和以此为方向的干预措施有助于对需要血液透析和机械通气支持的患者进行护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Care of a Patient with Chronic Kidney Failure in Intensive Care Unit, According to Riehl’s Symbolic Interaction Model: A Case Report
Introduction: Chronic kidney failure is one of the common health problems in the world and in Turkey. Hemodialysis is one of the most widely used renal replacement therapies. Riehl's Symbolic Interaction Model, on the other hand, is based on the interaction between the nurse and the patient. In this case report, nursing care was planned for a patient diagnosed with chronic kidney failure, who was treated in the intensive care unit and on mechanical ventilation support, within the scope of Riehl's Symbolic Interaction Model. Case report: H.D. is a 66-year-old female patient. The patient, who was on hemodialysis, was brought to the emergency room by ambulance with complaints such as impaired consciousness, extreme weakness, inability to speak, and respiratory distress at home after dialysis. The patient was admitted to the tertiary intensive care unit because of the diagnosis of chronic kidney failure and the need for hemodialysis. Conclusion: It is thought that the nursing diagnoses determined in line with Riehl's Symbolic Interaction Model and the interventions applied in this direction contribute to the nursing care of the patient who needs hemodialysis and receives mechanical ventilation support.
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