Application of a Core Care Nursing Outcomes Classification System for Liver Transplantation Patients: A Retrospective...

Hepatolenticular degeneration (HLD), also known as Wilson's disease, is an autosomal recessive disorder of copper metabolism caused by mutations in the ATP7B gene. Due to defective copper excretion in the liver, excess copper accumulates in tissues such as the liver, brain, kidneys, and corneas. Clinically, this manifests as liver dysfunction, motor disturbances, psychiatric symptoms, and damage to the kidneys and eyes. Liver transplantation, by replacing the diseased liver with a healthy donor liver, addresses the underlying genetic defect, disrupting the cycle of copper accumulation and systemic damage, and is currently the only curative treatment for the disease. This case report discusses a 17-year-old male diagnosed with HLD for one year who developed severe liver failure and underwent emergency liver transplantation. The patient's critical condition meant that the comprehensiveness and effectiveness of postoperative nursing care were crucial to his outcome. This case study utilized a core Nursing Outcomes Classification system for liver transplantation, previously developed through research, and achieved satisfactory results based on the actual data from the patient.