กรณีศึกษา การพยาบาลผู้ป่วยโรคตุ่มน้ำพองใสระดับความรุนแรง 1-2 ณ งานบริการผู้ป่วยนอก

Abstract

Background: Pemphigus Vulgaris is a rare autoimmune disease with severe symptoms that impact the physical, psychological, and social well-being of patients, especially elderly individuals who experience immune decline and age-related degeneration.

Objective: To explore nursing care guidelines for patients with Pemphigus Vulgaris at severity levels 1-2 in outpatient settings using Triage Theory and Meleis' Transition Theory to: 1) prioritize patient issues, 2) understand patient adaptation, and 3) develop nursing guidelines that meet patient needs.

Methods: A qualitative case study approach was used, collecting data from an 86-year-old Thai female patient through in-depth interviews, medical record reviews, and observations. Data were analyzed using descriptive analysis.

Results: Comprehensive care is essential for patients with Pemphigus Vulgaris, including wound care, health education, and psychological support to reduce anxiety and facilitate patient adaptation. Applying Meleis' Transition Theory enables nurses to understand and effectively respond to patient needs, resulting in better acceptance of change and improved quality of life for the patient.

Conclusion: This study highlights the importance of holistic nursing care, with Triage Theory and the SOS Score serving as key tools to prioritize care needs. Meleis' Transition Theory further aids nurses in understanding and promoting patient adaptation effectively.