運用緩和安寧療護理念於肺癌末期病人及其配偶之護理經驗

Experience of working with a Terminal Patient with Lung Cancer and his Spouse: Application of Hospice Palliative Care Nursing

葉月珍(Yueh-Chen Yeh) ； 陳冠伶(Guan-Ling Chen)

《中科大學報》 Volume 4 Issue 1 (2017/12) Pp. 65-81

https://doi.org/10.6902/JNTUST.201712_4(1).0003

Abstracts

本文主要在描述以安寧療護理念照顧一位肺癌末期病人及其配偶之護理經驗，護理期間自2017年5月15日至5月26日，以Gordon十一項功能性健康模式進行整體性評估，藉由觀察、會談、身體評估及病歷查閱等方式收集資料，確認護理問題有：低效性呼吸型態、疼痛、口腔黏膜改變及妻子面對至親死亡所引起的預期性哀傷等四項健康問題。提供的護理措施包括緩解疼痛和心理困擾的症狀，應用安寧療護理念的四項核心價值觀，以改善身體不適，提供陪伴和積極傾聽，協助病人表達感謝，道歉和愛，並與其妻告別。藉由此照護經驗，分享安寧療護的理念，提升臨床照護品質以因應病患和配偶之需求，以達到善終的目的。

Keywords

癌症末期 ； 緩和安寧療護 ； 護理

Parallel abstracts

This article describes the hospice care nursing experience of working with a terminal lung cancer patient and his spouse. During the period of nursing care, from May 15 to May 26, 2017, the Gordon's 11 functional health assessment tool was used. Data were collected through observation, interview, physical assessment, and review of medical records in order to establish the patient's primary care issues, such as an ineffective breathing pattern, pain, altered oral mucous membrane, and anticipatory grieving, as well as the wife's anticipatory grieving issues. The nursing care interventions included the provision of symptom relief pertaining to pain and psychological distress; application of the four core values of hospice palliative care to improve physical comfort; provision of companionship and active listening; and assisting the patient to express his appreciation, apology, and love to his wife and to bid farewell to her. The authors hope that this nursing experience will provide valuable information on the role of hospice care in responding to the needs of patients and their spouses, and thus improve the quality of nursing care pertaining to having a ＂good death.＂

Parallel keywords

Cancer Terminal Stage ； Hospice Palliative Care ； Nursing

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