蟹寶寶 發問時間: 社會與文化語言 · 6 年前

請英文達人幫我看看這段翻譯順不順,20點

本文探討一位30歲克隆氏症併腸道狹窄病患接受結腸造口術的護理經驗,照護自2012年9月19日至11月17日,藉由觀察、溝通、直接照護及身體評估等方法來進行資料的收集,運用Gordon十一項健康功能性評估為依據,確認病患有1.焦慮,2.自我照顧能力缺失,3.身體心像紊亂,4.急性疼痛,5.營養不均衡等健康問題。在住院中因不了解及焦慮而拒絕腸造口手術,經醫療團隊的說明、衛教才同意手術;術後對造口的存在耿耿於懷,筆者同理病患對身體心像改變的感受並介紹成功病患,讓病人逐漸適應造口,並學習造口護理;急性疼痛則運用轉移注意力及放鬆技巧來減輕疼痛;而術前病患因長期腸阻塞造成營養不足,予會診營養師及補充非腸道營養。經此照護經驗,建議應主動去了解病患拒絕手術和重複住院的問題,於術前儘早給予心理及精神上的支持,介紹造口病友會,以減少病患面臨的衝擊及壓力。希望藉由此護理經驗,提供日後照護此類病患的參考。

This case report describes the nursing care experience in nursing a young patient with Crohn’s disease (CD) with colon stricture received colostomy surgery. The nursing care duration was from September 19 to November 17, 2012. The methods of data collection included observation, interviews, direct care, and physical assessments. By applying Gordon’s 11-item functional health assessment, the patient’s health problems included anxiety, self-care deficit, body image disturbance, acute pain, and nutrition alteration. During hospitalize, due to anxiety and not understanding about colostomy, the patient refused colostomy surgery. After description and health education of the medical team, he had agreed to receive surgery. After received surgery, the patient still worried about the change of body image. The author had empathy with the patient’s feeling of body image change and introduced successful patient. The patient gradually adapted to the colostomy, and learned colostomy care. The author taught diverting attention and relaxation techniques to relieve patient’s acute pain. Long term colon stricture caused nutritional deficiencies, the author consulted dietician and supplemented nutrition by parenteral nutrition. After this experience of care, we recommend that the medical team should take the initiative to understand why the patient refused surgery and repeated admission. We should give psychological and spiritual support as soon as possible before surgery and introduce support organization to reduce the impact and stress.

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已更新項目:

最後一句的英文The purpose of this case report is to share nursing experiences with nurses in caring patients with the same disease.

3 個解答

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  • 呆子
    Lv 7
    6 年前
    最佳解答

    This case report describes indicates the nursing care experience in nursing to a young 30-year-old patient with Crohn’s disease (CD) as well as with colon stricture received treated with colostomy surgery. The period of nursing care duration was from 19 Sep to 17 Nov, 2012. The methods of data The author collection collected information by included observation, interviews, direct care, and physical assessments. By applying analyzing Gordon’s 11-item functional health assessment, the patient’s health problems included consisted of anxiety, self-care deficit, body image disturbance, acute pain, and nutrition imbalance. alteration. While being an inpatient, During hospitalize, due to anxiety and not understanding about colostomy, the patient rejected refused colostomy surgery due to anxiety and not misunderstanding about colostomy. After description Owing to explanation and health education of by the medical team, he had agreed to receive the surgery. After received surgery, the patient still worried about the change of body image. The author tried to persuade the patient with the successful cases to inspire his confidence. had empathy with the patient’s feeling of body image change and introduced successful patient. Then, the patient used to the symptom accompanying with gradually adapted to the colostomy, and learned how to care colostomy care. The author taught the patient how to distract his diverting attention and relax his body to ease the pain. relaxation techniques to relieve patient’s acute pain.

    2013-10-29 12:08:15 補充:

    Because long-term colon stricture caused nutritional deficiencies, the author consulted dietician and supplied the patient with supplemented nutrition by parenteral nutrition. After this Based on the nursing experience,

    2013-10-29 12:11:07 補充:

    we recommend that the medical team should take the initiative to understand the reason why the patient refused rejected surgery and repeated admission. We should give psychological and spiritual support as soon early as possible

    2013-10-29 12:11:39 補充:

    before surgery and introduce support organization to reduce the inevitable impact and stress. The purpose of this case report is for the reference to those who share nursing experiences with nurses in take care of the caring patients with the same disease

    2013-10-29 12:12:52 補充:

    其他如"意見"欄

    2013-10-31 10:13:06 補充:

    If you were a patient, you would have the same feeling.

  • 6 年前

    This discussion one 30 age clone's syndrome and intestinal narrow disease patient accept colon made mouth surgery of nursing experience, care since September 19, 2012 to November 17, through observation, and communication, and directly care and the body assessment, method to for data of collection, using Gordon 11 items health features sexual assessment for pursuant to, confirmed disease suffers from 1. anxiety, 2. self care capacity missing, 3. body heart like disorder, 4. acute pain, 5. nutrition not balanced, health problem. In hospital in the due to not understanding and the anxiety and refused to intestinal made mouth surgery, by medical team of description, and Education only agreed surgery; surgery Hou on made mouth of exists stung by, author similarly disease patient on body heart like change of feel and introduced success disease patient, let patients gradually adapted made mouth, and learning made mouth nursing; acute pain is using transfer attention and the relax skills to reduce pain; and surgery Qian disease patient due to long-term bowel obstruction caused nutrition insufficient, to consultation Nutrition Division and the added non-intestinal nutrition. After this experience of care, recommendation should take the initiative to understand the patient refuses surgery and repeated problems in hospital, prior to the surgery as soon as possible to give psychological and moral support, introduced Ostomy patients to reduce shock and pressure on patients. Nursing experience in the hope to provide reference for future care for such patients.

  • 6 年前

    This paper discusses a 30 -year-old Crohn's disease and intestinal stenosis patients underwent colostomy nursing experience , care since 2012 September 19 to November 17 , by observation , communication, direct care , and physical examination approach to data collection, the Gordon eleven functional health assessment as the basis to determine which patients have an anxiety , 2 self- care deficit , 3 body image disturbance , 4. acute pain, 5 . nutritional imbalance and other health problems. During the hospitalization and anxiety do not understand the refusal colostomy surgery , the medical team 's instructions, health education had agreed to surgery ; postoperative stoma brooding presence , the author Similarly patients on change in body image and feelings Introduction successful patients and allow patients to gradually adapt to the stoma , and learn ostomy care ; acute pain is the use of distraction and relaxation techniques to relieve pain ; while patients with preoperative bowel obstruction caused by long-term nutritional deficiencies , I nutritionists and consultation supplemented parenteral nutrition. After this experience of care , we recommend that patients should take the initiative to understand the patient refused surgery and repeated the question , given as early as possible in the preoperative psychological and spiritual support , will introduce stoma patients , in order to reduce the impact and stress faced by patients . I hope by this care experience to provide a reference for future care of these patients .

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