一位行雙側全甲狀腺切除手術患者之手術全期護理經驗

An Experience in Perioperative Nursing Care for a Patient Who Underwent Total Thyroidectomy

陳慧君(Hui-Chun Chen) ； 王美惠(Mei-Hui Wang)

《志為護理-慈濟護理雜誌》 10卷5期 (2011/10) Pp. 98-107

https://doi.org/10.6974/TCNJ.201110.0098

摘要

本文針對一位甲狀腺乳突癌接受雙側全甲狀腺切除手術之年輕女性進行手術全期評估，了解個案面對手術的擔憂及不安，經評估後確立的健康問題有焦慮、潛在危險性傷害與知識增進的準備度。筆者藉由持續性的關懷及心理支持，並對手術過程給予個別性需求的詳盡解說，解決個案面對手術產生的焦慮；手術中做好完善的保護措施，預防因手術臥位及使用電燒止血造成的傷害；提供甲狀腺切除術後傷口及自我照護的資訊與衛教，於手術前、中、後期滿足身心靈的需求，讓個案有信心面對手術，並早日回歸正常的生活。

關鍵字

甲狀腺癌 ； 全甲狀腺切除 ； 手術全期護理

並列摘要

This article described a perioperative assessment on a young female patient who underwent total thyroidectomy due to papillary thyroid cancer. The goal was to evaluate the patient's uneasiness and doubt of this surgery, and after assessment, the established health problems were anxiety, potential risk of injury, and insufficient and incorrect knowledge. In preoperative phase, the author relieved the patient's surgery-induced anxiety with continual care and thoughtful mental support, and thorough explanation of surgical procedure according to the patient's condition. During intraoperative phase, comprehensive protection measures were applied as precaution to prevent injuries arisen from surgical positioning and electric cauterization. In postoperative phase, information and health education on self-care post-thyroidectomy were provided in detail. The perioperative care given had covered the comprehensive needs of the patient, improving the patient's confidence to face surgery, and return to regular life activities.

並列關鍵字

perioperative nursing care ； thyroid cancer ； total thyroidectomy