- 期刊
照顧一位子宮頸癌末期患者之護理經驗
Nursing Experience of a Patient with Terminal Cervical Cancer
摘要
末期子宮頸癌常因腫瘤浸潤、壓迫，導致疼痛及淋巴水腫等症狀，更因疾病進展惡化，易有憂鬱、失望、無助、無望與自棄等情緒反應。本文為照護一位喪偶與家人關係疏離的子宮頸癌末期病人，住院期間因左大腿淋巴水腫壓迫導致疼痛、睡眠障礙，且因家人極少探視與照顧而對疾病產生無望感，甚至有死亡恐懼等問題。筆者於2009年9月15日至10月13日照護期間，以Gordon十一項健康功能評估並收集資料，確立個案有疼痛、睡眠型態紊亂、無望感、靈性困擾等健康問題。運用非藥物疼痛處置方法，如按摩、舒適擺位、淋巴按摩與引流等，以關懷、傾聽陪伴及心理支持方法，緩解個案生理、心理之不適，並轉介安寧共同照護團隊，協助處理靈性困擾問題，以提供最佳的照護品質。
並列摘要
Patients with terminal stage cervical cancer experience, depression, disappointment, pain, fear of dying and a sense of hopelessness when suffering complications of tumor infiltration and compression. This article describes a nursing process during the care of a widow who lived alone and it highlighted the patient's experience during the terminal stage of the disease and presented the required nursing care. By using the nursing model of Gordon's 11 health functions, the client was diagnosed with having nursing problems of pain, sleep disturbance, feeling of hopelessness and poor social and spiritual support during hospitalization from 15 September to 13 October 2009. The author suggests massage and positioning which are useful for pain relief. In order to provide care at later stage of bereavement, patience, a listening ear, empathy, spiritual respect, and referral to hospice care are nursing interventions necessary for the patient who is feeling hopeless and afraid of dying.