爲一位淋巴瘤患者收集周邊血液幹細胞時期之護理經驗

A Nursing Experience in the Case of Lymphoma with Receiving Peripheral Blood Stem Cell Collection

林淑惠(Shu-Hui Lin) ； 白玉珠(Yu-Chu Pai)

《志為護理-慈濟護理雜誌》 2卷1期 (2003/03) Pp. 88-96

https://doi.org/10.6974/TCNJ.200303.0088

摘要

臨床上使用大量化學藥物或放射線於癌症的治療，常會造成骨髓造血細胞受到壓抑。「自體幹細胞移植」是目前常用的一種有效縮短不造血期，地少感染、出血等併發症的治療方法。本文描述一位準備行自體周邊血液幹細胞移植的淋巴瘤患者，自住院收集幹細胞的狀況，包括入院時對骨髓抑制、幹細胞移植的知識缺失，到住院的無奈及因免疫力下降引起感染的護理過程。筆者除提供護理指導加強其對幹細胞移植之認知、感染防護、出血預防外，更深入了解個案的心理層面問題，協助減輕其焦慮、及無力感，幫助其在收集過程能預防合併症發生，順利完成收集自體周邊血液幹細胞，增進身體心理的舒適平安。

關鍵字

周邊血液幹細胞 ； 淋巴瘤

並列摘要

Bone marrow suppression is common with cancer patients, when they are treated with high dose chemotherapy or radiotherapy. Autogenetic stem cell transplantation is an usual rescue method to shorten the period of bone marrow agenesis, to decrease infection rate, and hemorrhage complications. This article described the nursing experience of a patient with lymphoma who was going to receive auto genetic peripheral stem cell transplantation. She lacked the knowledge of bone marrow suppression, stem cell transplantation, with her unwillingness for admission and infection during immune suppression period. Apart from supplying nursing instructions to intensity her knowledge about stem cell transplantation, about infection and hemorrhage prevention, the author tried to understand the inner psychological problems of this patient and to give the patient a hand to relieve her anxiety and weakness. The author also helped the patient to decrease the complication while collecting autogenetic stem cell from peripheral blood and to keep her comfortable physiologically and psychologically.

並列關鍵字

peripheral blood stem cell ； lymphoma