- 期刊
照顧一位初診斷急性骨髓性白血病之護理經驗
Nursing Experience of Caring for a Newly Diagnosed Myeloid Leukemia
摘要
本文主要探討一位初診斷急性骨髓性白血病病人因疾病對生命造成威脅，而引發生身心問題之照護經驗。照護期間為2020年11月27日至12月31日，筆者運用Gordon十一項健康功能型態做整體性評估，藉由實際照護、身體檢查與評估、觀察及會談，確立健康問題有：保護能力改變／與化學治療導致骨髓功能受抑制有關、焦慮／與無法預知疾病治療和病程進展有關、身體心像紊亂／與化學治療副作用有關。照護期間運用關懷、陪伴、情緒支持，與個案建立信任的治療性人際關係，一同面對化學藥物治療後的副作用，教導放鬆技巧以緩解治療期間的不適感，藉由跨團隊合作、家屬的陪伴支持及病友鼓勵，使個案增加信心更勇於面對疾病，完成初次疾病診斷後的化學藥物治療。
並列摘要
This article mainly discusses the nursing experience of a newly diagnosed acute myelogenous leukemia patient who had physical and mental problems due to the threat to life caused by the disease. The period of nursing care was from November 27 to December 31, 2020. Gordon 11 healthy function patterns as an assessment tool it use, and information was collected through interviews, observations, attentive listening and physical examinations. Three health issues were identified：altered protective capacity/associated with suppression of bone marrow function due to chemotherapy, anxiety/ associated with unpredictable disease treatment and progression, disturbed body image/associated with side effects of chemotherapy. Use caring, companionship, and emotional support during nursing to establish a good therapeutic relationship with the patient and face the side effects of chemical drug treatment together. Through cross-team cooperation, support from family members and encouragement from patients, the patients can increase their confidence to face the disease more courageously and complete the chemical drug treatment after the initial diagnosis of the disease.