- 期刊
一位初診斷急性骨髓性白血病新住民之護理經驗
Nursing Experience of Caring for a New Immigrant with Newly Diagnosed Acute Myeloid Leukemia
摘要
本文為39歲初診斷急性骨髓性白血病之越南籍新住民護理經驗。護理期間自2018年12月26日至2019年3月22日，發現個案有面對疾病不瞭解、擔憂後續照護及跨國骨髓移植費用，加上語言溝通障礙等困擾。運用關懷技巧陪伴及評估於護理過程，確立個案有無效性保護能力、知識增進準備度及焦慮等健康問題。請翻譯志工協助護理指導翻譯，解決照護疑慮，照會社工團隊及圖文解說後，協助案弟來台進行骨髓配對及經濟協助，介紹正向病友分享經驗，適時給予個案正向回饋。經由翻譯志工與社工團隊加入，緩解重要的語言溝通問題，讓個案能了解疾病且順利進行後續治療，是非常寶貴的護理經驗，特此分享。
並列摘要
This article discloses the nursing experience of caring for a 39-year-old Vietnamese new immigrant diagnosed with acute myeloid leukemia (AML). The nursing period took place from December 26th, 2018 to March 22th, 2019. At the time of diagnosis, the issues she faced included disease ignorance, concerns regarding follow-up care, the cost of transnational bone marrow transplantation and a language barrier. The health issues were identified, which included protection ineffectiveness, knowledge-enhanced readiness and anxiety. Caring proficiency was therefore implemented to assist the patient, with the intervention providing nursing guidance- related translations by volunteer interpreters that alleviated the patient's concerns. Through graphic explanations and the social worker team assistance, the younger brother was able to come to Taiwan to enable completion of bone marrow-matching procedures with financial assistance. Meanwhile, we also sought to invite other patients to share their own experience and give positive feedback. In conclusion, we share this valuable nursing experience where the language barrier could be alleviated by involvement of translation volunteers and social workers, which in turn led to patient acceptance of the remedy for the disease.