肌肉放鬆及意像引導之運用

Application Muscle Relaxation and Guide Imagery

楊翠雲(Tsui-Yun Yang)

《安寧療護雜誌》 12卷1期 (2007/02) Pp. 66-73

https://doi.org/10.6537/TJHPC.2007.12(1).6

摘要

噁心及嘔吐是癌症病患化學治療期間最常見的副作用，其發生率約40%~80%。若噁心及嘔吐症狀未獲得緩解，常會導致病患營養狀況改變、體液電解質不平衡、脫水、吸入性肺炎的危險、疲憊、焦慮、害怕、無助等結果降低生活品質，嚴重的甚至會影響對治療計劃的遵從度。雖然臨床上積極發展藥物來控制噁心及嘔吐問題的產生，但病患仍在治療期間及治療結束後，仍深受此問題的干擾。在相關的研究中發現，病患在化學治療前接受肌肉放鬆或意像引導方案的訓練，能有效降低治療期間噁心及嘔吐的頻率；增加化學治療後食物的攝取情形；降低焦慮、情緒困擾及壓力反應；甚至增加病患在治療期間自我控制感、因應壓力的調適能力及參與自我照顧的意願，進而提升治療期間的生活品質。本文重點將針對此方案之運用加以說明，以提升臨床護理人員的照護能力。

關鍵字

化學治療 ； 噁心 ； 嘔吐 ； 肌肉放鬆 ； 意像引導

並列摘要

Nausea and vomiting are the most common side effects of chemotherapy which incidence almost 40~80%. If nausea and vomiting have not been relieved patients will lead to some serious problems with nutritional deficiency、electric disturbance、dehydration、risk of aspiration pneumonia、fatigue、anxiety、fear、 powerlessness. These symptoms can affect their treatment compliance. Despite improvements in the efficacy of antiemetics, nausea and vomiting associated with chemotherapy continue to be common problems for many cancer patients. Some studies found that muscle relaxation or guide imagery training would help patients to reduce nausea and vomiting frequencies, enlarge self control, adapt stress, improve compliance of self care and quality of life during chemotherapy. This article focuses on inducing protocol of muscle relaxation and guide imagery that will be helpful for clinical staff in nursing care.

並列關鍵字

chemotherapy ； nausea ； vomiting ； muscle relaxation ； guide imagery