- 期刊
一位初診斷乳癌年輕婦女術後恢復室之護理經驗
Nursing Experience of Caring for a Young Woman Newly Diagnosed with Breast Cancer in Post-operative Recovery Room
摘要
本文描述一位僅26歲初診斷乳癌婦女，乳房切除術後麻醉恢復過程出現噁心嘔吐、寒顫及傷口疼痛等多重不適，又因不確定感及擔心幼子而頻頻落淚，故引發筆者撰寫本文動機；護理期間為2021年1月12日16:00－17:45，藉由直接照護、觀察、會談等整體性評估，確立個案主要有「舒適障礙／麻醉術後引發噁心、嘔吐及寒顫」、「急性疼痛／手術後傷口導致組織完整性受損」及「焦慮／對未來治療不了解及疾病進展不確定感；擔心幼子未來無人照顧」健康問題，照護過程中運用穴位按壓及吹風式保暖機等方法，減輕不適感及疼痛，以同理心傾聽及陪伴，提升家庭支持系統，再加上輔以「康乃馨護照」APP或手冊等方式，降低其焦慮，建議應常規舉辦跨團隊全人照護會議，以提升照護品質。
並列摘要
This paper describes the nursing experience of caring for a young woman who was newly diagnosed with breast cancer at the age of 26. The patient experienced nausea, vomiting, chills, and wound pain during the recovery from anesthesia after mastectomy. Moreover, the patient also cried because of the uncertainty about the future and the concern over her young child, which triggered the researcher's motivation to conduct this research. The nursing period was 16: 00-17: 45 on January 12, 2021. This study performed overall assessments using direct care, observation, and interviews and confirmed that the major health issues of the patient included comfort disturbance/post-anesthesia-induced nausea, vomiting, and chills; acute pain/impaired tissue integrity caused by the post-operative wound; anxiety/uncertainty about the future disease progression and treatment, and concern over her unattended young child in the future. During the nursing care period, the researcher assisted the patient in alleviating discomfort and pain using approaches such as acupressure and air blow heater for warming. The researcher listened to and accompanied the patient with empathy and improved the family support system. Moreover, nurses used mobile applications (APPs) and health education manuals to reduce the patient's anxiety. This study suggests holding regular interprofessional collaborative conferences to further improve the quality of nursing care.