子宮頸癌末期病患安寧護理經驗

A Case of Terminal Cervical Cancer with Bowel Obstruction in Hospice Nursing Care

李筱苓(Hsiao-Ling Lee)

《榮總護理》 18卷4期 (2001/12) Pp. 369-380

https://doi.org/10.6142/VGHN.18.4.369

摘要

近年來台灣積極推廣安寧療護的理念，希望提供癌症末期病患身、心、社會及靈性各層面的照護，以提升末期患者生活品質。本文是探討一位末期子宮頸癌轉移性腫瘤導致腸阻塞的病患接受安寧療護的照護經驗，在89年6月10日～7月3日的護理期間，運用Gorden十一項健康型態評估，確立疼痛、液體容積缺失、自我心像紊亂、知識缺失、潛在危險性傷害／跌倒等五項護理問題，針對各層次護理問題，給予適當的護理措施，支持個案及家屬一同度過癌症末期的各種身、心、靈問題，使其能在病情穩定時返家休養。更期望以此護理經驗，提供給日後照護類似病患之參考。

關鍵字

子宮頸癌 ； 安寧療護 ； 腸阻塞

並列摘要

In recent years, the idea of hospice care has been continuously popularized in Taiwan. Through providing terminal-stage cancer patients with care covering each aspect of physical, mental, spiritual and social need, the promotion of their living quality is expected. Over 80% of terminal-stage cancer patients have been suffering pain form gastrointestinal tract of differing degres their living quality seriously affected. Correspondingly, issues accompanying bowel obstruction are observed in almost 33% of terminal-stage cancer patients in Taiwan (Kaye, 1994), especially those patients with primary or metastatic cancer in the gastrointestinal track and peritoneal cavity, like cervical cancer. A specific nursing case of terminal-stage cervical cancer metastatic tumor causing bowel obstruction will be discussed in this paper By utilizing the elevem-item evaluation method of Gorden, the primary nursing issues, including pain, fluid volume deficit, body image disturbance, knowledge deficit and injury/falling with potential danger, could be determined and the corresponding nursing tactics can also be provided. Therefore, the using of this evaluation method will help the patients and their families to handle each terminal-stage cancer caused issue by covering the physical, mental and spiritual aspects, patients could make their recreation at home if their physical situation is stable.

並列關鍵字

cervical cancer ； hospice care ； bowel obstruction