Nursing Care of End Stage Renal Disease with chronic hepatitis B Patients undergoing Hemodialysis: 2 Case Studies.

Abstract

     This study was case study aimed to study nursing guidelines for patients with chronic kidney disease receiving hemodialysis. and were infected with the hepatitis B virus (Hepatitis B). Case study of 2 patients. Study in patients with chronic kidney disease who received hemodialysis and were infected with the hepatitis B virus (Hepatitis B). Conducted a study and nursing plan for patients admitted to the hospital. Sakon Nakhon Nurse Between fiscal years 2022 and 2023, the study was based on patient history and medical records. Medical treatment received The tools used to collect data consisted of 1) observation and interview with patients and relatives, 2) nursing record form, and 3) nursing record form of Sakon Nakhon Hospital. Formulate nursing diagnosis using Gordon's Health Model concept. and DMETHOD discharge planning guidelines to plan nursing action according to nursing diagnosis. Summarize and evaluate nursing results
     Study results : Case study 1 Thai male patient, age 36 years, has no history of underlying disease. Came to Sakon Nakhon Hospital in September 2022 with symptoms of foot ulcers, infection, tested positive for hepatitis B and end-stage kidney failure and received hemodialysis using a hemodialysis machine. While recovering, he received treatment according to the doctor's treatment plan. and provide continuous hemodialysis treatment 2 times/week at Sakon Nakhon Hospital Center Evaluating and providing nursing care for complications of hepatitis B infection. According to the doctor's treatment plan and nursing plan. case study 2, a Thai male patient, age 42 years, with no history of congenital disease. Doctors at the community hospital diagnosed him with high blood pressure before sending him for treatment to Sakon Nakhon Hospital in September 2023. He came with watery diarrhea more than 10 times, vomiting food scraps more than 10 times, and hepatitis B virus was detected. and end-stage kidney failure received hemodialysis using a hemodialysis machine. While recovering, he received treatment according to the doctor's treatment plan. and provide continuous hemodialysis treatment 2 times/week at Sakon Nakhon Hospital Center Evaluated and provided nursing care without any complications.