本文描寫一位74歲女性輸尿管腎盂連接處阻塞，接受腎盂整形術的手術全期護理經驗。護理期間自2018年5月13日至5月25日，以Gordon十一項護理評估，確立個案有手術前知識缺失、手術中潛在危險性手術情境傷害、手術後焦慮等健康問題。手術前主動關心、澄清疑慮及利用手術圖片給予衛教以提升個案對手術認知；手術中控制體溫、擺位防護物使用及正確使用電刀以避免手術中傷害產生；手術後因過往多次手術的失敗造成個案焦慮，故術後說明雙J導管置放原因及定期追蹤以保護腎臟功能降低焦慮。手術全期的限制在於須在有限的時間內，完成全面整體性評估，手術護理人員扮演至關重要的角色功能，方能使手術個案得到更全面持續性的照護模式。期望此照護經驗提供日後照顧類似個案之臨床經驗分享。

This case report describes the perioperative nursing experience of caring for a 74-year-old female with ureteropelvic junction obstruction who underwent pyeloplasty. The nursing period was from 13 to 25 May, 2018. The patient’s problems were assessed based on Gordon’s functional health assessments. The major issues were preoperative knowledge deficit, fear of potential surgical risks, and postoperative anxiety. Before the surgery, active care was provided, doubts were clarified, and operation pictures were used to provide knowledge about the surgery. On the day of the surgery, body temperature was measured, protective materials were placed, and electrocautery was correctly used to avoid injuries during the operation. After the operation, the patient was anxious due to previous unsuccessful operations. Therefore, the reasons for the placement of the double J catheter were explained and regular follow-ups were conducted to protect kidney functioning and to reduce the source of anxiety. The operation period was limited, requiring a comprehensive and individual evaluation within a limited amount of time. This is a big challenge for surgical nurses. A more comprehensive and continuous care model for each surgical case requires an enhanced complete care mechanism. This case report may serve as a useful resource for nursing staff while caring for similar cases in the future.