從資深護理人員的觀點探究癌症及相關照護經驗

The Lived Experiences in Cancer Patients' Suffering by Senior Oncology Nurses' Perspectives

蔡欣玲(Sing-Ling Tsai) ； 林小玲(Shir-Ling Lin) ； 穆佩芬(Pei-Fan Mu)

《榮總護理》 18卷4期 (2001/12) Pp. 402-415

https://doi.org/10.6142/VGHN.18.4.402

摘要

護理人員在照護癌症病人的過程中，與病人共同走過病人罹病過程。本研究採深度訪談法，邀請某醫學中心六位平均工作年資15.6年之資深癌症照護護理人員接受訪談。護理人員回溯自己照顧癌症病人的主觀真實經驗，主要目的爲探索病人罹病後，包括病人的罹病病苦及護士本身的照顧經驗。主要結果發現：癌症是複雜、致命、變幻莫測的疾病，病人在獲知罹患癌症之初，除全力搜索爲症的相關知識，情緒上亦多有波動，癌症的相關知識除化學治療、放射線治療、手術治療外，中醫、飲食、另類療法皆被吸納：病人對癌病調適方面，家人的支持、病友的分享及鼓勵，有助病人堅毅的走過艱辛的治療過程，走出癌症的陰影，重整生活作息。護理人員在提供具體的護理活動，穿梭溝通病人、家屬與醫師的意見之餘，仍覺爲症病人照護中，心理諮詢十分缺乏，如何有效率地提供護理服務，將心理諮詢設計於病人或家屬之團體教育活動中，是未來一可開發的研究方向。

關鍵字

腫瘤護理人員 ； 癌症罹病經驗

並列摘要

The purpose of this study was to explore nurses' understanding of cancer patients' experiences in suffering process. An interview method was used to collect data, using content analysz of data. Six senior oncology nurses in a medical center were invited to participate in this study. The important findings were as follows: for patients in early stage, cancer related information was searching, patients' mood was fluctuating between hopes and fears, Chinese medicine and alterative medicine were used in addition to regular medical treatments. For patients' coping strategies, family support or encouragement might help patients walk away from the dark of suffering. For nurses' caring consideration, psychosocial consultation and supporting groups in the future were highly recommended.

並列關鍵字

oncology nurses ； cancer patients' suffering