- 期刊
協助一位人工膀胱病人面對手術之護理經驗
The Nursing Experience of Helping a Neobladder Patient
摘要
人工新膀胱(Neobladder)手術是膀胱癌患者行膀胱切除最新的治療方式，病患接受膀胱切除後沒有造口，亦不須執行間歇性自我導尿，且能從尿道口自然的排尿。這種創新的手術帶給病患希望，同時也提高了生活品質。 本篇主要是探討一位年僅35歲膀胱癌病患接受人工新膀胱的護理經驗。病患在住院期間產生許多身、心、社會層面之護理問題，護理期間經由觀察、會談、傾聽及身體評估等方式，深入了解個案的需求與壓力。其主要的護理問題有焦慮、高危險性感染、身體心像紊亂及健康維護能力改變。經由提供個別性護理措施及整體性的照護，並鼓勵家庭成員參與協助，促進個案建立信心，增進對疾病的認知，勇於面對疾病的衝擊，使其重返原有的社會生活。將此護理經驗提出分享，以供護理人員照護的參考。
並列摘要
The Neobladder surgeon is the newest treatment of the patient with bladder cancer. There is no ostomy after Radical Cystoprostatectomy. The patient doesn't need to do self-catheterization periodically and can discharge urine through the urethra naturally. This creative surgery brings hope to the patients. It also improves patients' living quality. This report is to study the nursing experience of a 35-year-old Neobladder patient who took Neobladder surgery. In the process of nursing care, the nurses understood the patient's needs and pressures by means of observation, interviewing, listening, and physical assessment. The major patient's problems were anxiety, high-risk infection, psychosomatic confusion, and the changed health maintenance ability. By way of providing individual nursing treatment and total care and encouraging family members' participation, the patient was able to rebuild confidence and increase knowledge of the disease. The patient was encouraged to face the impact of the disease and resume original social life.
延伸閱讀
- 黃素枝、張秋華（2010）。一位接受迴腸新膀胱手術病人之護理經驗。榮總護理，27(1)，97-102。https://doi.org/10.6142/VGHN.27.1.97
- 蔡芳怡、劉芳蓁（2010）。一位初診斷膀胱癌行經尿道膀胱腫瘤切除術病人之護理經驗。馬偕護理雜誌，4(1)，76-86。https://doi.org/10.29415/JMKN.201001_4(1).0008
- 歐立真、戴秀好、張玫芬、賴見淑（2013）。照顧一位間質性膀胱炎病人之護理經驗。Incontinence & Pelvic Floor Dysfunction，7(1)，1-4。https://doi.org/10.6259/IPFD.2013.7.1.1
- 李捷凱、蔡富卿、賴美玉（2021）。一位膀胱癌病患接受迴腸膀胱造口術之護理經驗。高雄護理雜誌，38(3)，111-123。https://doi.org/10.6692/KJN.202112_38(3).0010
- 林宜貞、陳靜儀（2023）。The Nursing Experience of a Patient with Heart Failure。彰化護理，30(1)，133-144。https://doi.org/10.6647/CN.202303_30(1).0014