- 期刊
一位直腸癌病人行雙側腸造口術後之護理經驗
Nursing Experience of a Patient with Rectal Cancer Undergoing Bilateral Colostomy
摘要
本文旨在描述一位罹患直腸癌病人行雙側腸造口手術之護理經驗。照護期間為2015年10月1日至2015年10月30日，筆者運用Gordon十一項功能性健康型態為評估工具，以直接照護、觀察、身體評估與會談等方式收集資料，確立病人的健康問題有急性疼痛、潛在體液電解質不平衡、身體心像紊亂及照顧者角色緊張。在護理過程中運用同理心，與病人及主要照顧者建立良好互信之治療性人際關係，透過關懷、陪伴與傾聽、給予情緒支持，藉由提供腸造口照護資訊時，引導病人坦述內心感受，並邀請病友經驗分享，協助以正向態度來面對身體外觀改變及病情變化的衝擊，順利學習腸造口照護技巧，促進自我調適因應未來生活，期望藉此經驗提供臨床護理人員照護類似個案之參考。
並列摘要
This article describes the nursing experience of a rectal cancer patient undergoing bilateral colostomy. Inpatient nursing care was offered from October 1 to 30 in 2015. During the period of nursing care, data were collected by clinical observations, interview, physical assessment and direct care of the patient and family. Based on Gordon's functional health assessment, the major nursing problems were identified as acute pain, potential fluid-electrolyte imbalance, disturbed body image and caregiver role strain. During the nursing period, through empathy, listening, companionship, and psychological support, a good interpersonal relationship was established between the nurses and the patient and family members. We guided them to express their feelings. By teaching the skill for colostomy care, the patient improved self-care ability. We also assisted the patient in adapting to the body image change after the surgery, and with patient-sharing, provided timely advice and positive feedback to help alleviate the situation and promote the care quality of the patient. The patient was gradually empowered to face the disease with a positive attitude. This article on nursing experience serves as a reference for caring for similar patients.