照顧肺癌單親中年婦女：一個案報告

Nursing Care for a Single Mother with Lung Cancer: A Case Report

邱婉婷(Wan-Ting Chiu) ； 陳宥蓁(Yu-Chen Chen) ； 梁明泰(Ming-Tai Liang) ； 洪昭安(Chao-An Hung)

《安寧療護雜誌》 15卷3期 (2010/11) Pp. 379-389

https://doi.org/10.6537/TJHPC.2010.15(3).8

摘要

癌症病人面對病程的變化，甚至伴隨癌細胞轉移，嚴重吞噬其活下去的希望，如同絕望到谷底所扮演的死亡劇情。本文病人是一位肺癌合併骨轉移的單親中年婦女，一連串的衝擊讓病人出現生理、心理、社會及靈性生死交戰的威脅，進而出現意志消沉、情緒低落、哭泣伴隨自殺念頭等無望感。護理期間爲2008年5月9日至5月22日，過程中協助症狀控制，鼓勵表達負面情緒及感受，主動關懷同理無望感受，引導探索生命之意義與價值，讓病人以正向的態度珍惜現有的人生，在逆境中找回希望，坦然面對往後的生活。藉此經驗，有助於提升靈性層面之照護，提供更深入、整體性之全人照護。

關鍵字

肺癌 ； 無望感 ； 生命意義 ； 生命價值

並列摘要

As an actor of a tragedy, the cancer patients facing the challenge of the disease, even with tumor metastasis, lost their faith and felt hopeless. This patient was a single mother who suffered from lung cancer with bone metastasis. The whole challenge attacked her soul and body, and result in depression, hopelessness, crying and suicide. The nursing process was from May 9(superscript th) to May 22 2008. The author help the patient to control symptoms, encouraged to express depressive mood and feeling, empathy the hopelessness initiatively, guided the patient and her son explore the real meaning of live, help them to cherish their life. According to the experience, it could help us to increase the caring of ability spirit mind, the author helped to provide unique of holistic care.

並列關鍵字

lung cancer ； hopelessness ； meaning of life ； value of life