照護一位初次罹患第一型糖尿病之學齡期兒童的護理經驗

This article describes the experience of caring for a school-aged child newly diagnosed with Type 1 diabetes, who was admitted to the hospital because of body weight loss and hyperglycemia. Nursing care was provided from October 22 to 25, 2013. The authors used the Gordon 11 Function Health Patterns during the treatment to assess the health status of the patient. The medical treatment was designed and the health history was obtained through observation and an interview, and the health data collected were analyzed, revealing that the major problems of the case were self-care deficit, glycemia, knowledge deficit, and caregiver role strain. Being newly diagnosed with Type 1 diabetes, the patient as well as the family members, lacked a suffi cient understanding regarding medical treatment, which caused anxiety and agitation. The authors showed great initiative in caring for and empathizing with the patient to build trust in nurse- patient relationships. The authors discovered the health problems of the patient by attentively listening to and accompanying the patient, and nursing interventions were subsequently delivered in a comforting manner. In addition, the authors helped the patient and particularly the main caregiver in learning how to provide proper physical care and served as communicators between the patient and the health care team. Moreover, the authors provided relevant information and a support group for discussing anxiety and agitation. With the cooperation of a diabetes case manager and nutritionist, the patient and family members were assisted. Thus, the health problems of the patient were controlled and health care was maintained. The authors believe that this nursing experience can be used as a reference for future caring cases.