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運用羅氏理論於一位下咽癌復發患者之護理經驗

Applied Roy's Adaptation Theory in Nursing Care Experience with a Patient Suffering Hypopharynx Cancer Recrudescence

摘要


本文為應用羅氏適應模式敘述一位下咽癌復發患者的護理經驗。護理期間為2010年5月26日至2010年6月14日。以羅氏適應模式作評估,歸納出個案主要的5個護理問題:呼吸道清除功能失效、死亡焦慮、無力感、營養少於身體所需、急性疼痛等護理問題。針對個案擬訂個別性護理計畫,透過護理專業及協同醫療團隊合作下,提供個案及家屬詳細的治療訊息,使其了解治療過程及預後,同時持續關懷,引導個案說出自己對疾病所產生的疑問,提升護病間的信任關係,讓病人能主動參與照顧自己,提升家庭互動,使其在經歷癌症復發的衝擊下,能有最佳的適應情形,進而改善生活品質。

關鍵字

下咽癌 癌症復發 羅氏理論

並列摘要


The report applied Roy's adaptation theory to describe the nursing care experience with a patient suffering hypopharynx cancer recrudescence. From May 26, 2010 to June 14, 2010, there were five major adaptation problems: ineffective airway clearance, death anxiety, powerlessness, imbalanced nutrition: less then body requirements and acute pain. To alleviate these problems, we established therapeutic relationship with the patient and provide individualized care to the patient. We kept patience to encouraged patient to talk about his illness and whatever problems he was encountering, so that patient was more willing to perform self-care and improve the relationship with families, which made better adaptation to his quality of life during the cancer recrudescence phase..

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