照顧一位胃癌術後病患面對死亡恐懼之護理經驗

A Nursing Experience of a Postoperative Gastric Cancer Patient Suffering from Thanatophobia

林雅婷(Ya-Ting Lin) ； 葉湘芬(Hsiang-Fen Yeh)

《志為護理-慈濟護理雜誌》 11卷2期 (2012/04) Pp. 103-110

https://doi.org/10.6974/TCNJ.201204.0103

摘要

本報告描述照顧一位胃癌術後老人面對死亡恐懼之護理經驗。筆者運用Gordon十一項功能性健康型態為架構進行評估，護理期間為2007年7月7日至7月15日，藉由觀察及會談資料收集，確立個案的健康問題有呼吸道清除功能失效、感染、死亡恐懼及營養狀態/少於身體所需四項。在照護過程中，著重預防感染、傷口照護，並持續監測個案營養狀態，運用醫療團隊共同合作，提供個案疾病過程所需的營養，與個案建立治療性人際關係，應用生命回顧及完成心願等方法，協助個案正向面對死亡。期望藉由此個案之護理經驗，與護理同仁分享。

關鍵字

胃癌 ； 術後 ； 死亡恐懼

並列摘要

This report centered on the nursing experience of a gastric cancer patient suffering from thanatophobia in postoperative period. The nursing care duration was from July 7th to July 15th, 2007. The author applied Gordon's Eleven Functional Health Patterns to assess patient condition. By means of clinical observations and interviews, four major health related problems were identified: ineffective airway clearance, risk of infection, thanatophobia and altered nutrition status (less than body requirements). Within the caring period, the patient's altered nutrition status was being constantly monitored in addition to the heavily emphasized infection prevention and wound care. Through the collaboration of the medical team, we provided all the nutritional requirements to the patient and established an effective therapeutic relationship. Moreover, we aided the patient to achieve a positive attitude towards death in virtue of a life review and the accomplishment of his wishes. We hope to share this nursing experience with our fellow nurses as a constructive example.

並列關鍵字

gastric cancer ； post-operative ； thanatophobia