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年輕婦女癌末心靈困擾之護理經驗

A Nursing Experience of a Young Female Terminal Cancer Patient Suffering from Spiritual Distress

摘要


本文是探討一位年輕婦女罹患子宮頸癌面臨心靈困擾之護理經驗,筆者於護理期間2009年10月7日至2009年10月25日,藉由會談、觀察、查閱病歷等方式,發現個案因腫瘤壓迫轉移引起疼痛,以及因面臨死亡心中的焦慮而產生情緒的影響,確立個案有慢性疼痛、因死亡造成角色期待上的失落及未盡之事的遺憾及心靈困擾等健康問題。護理重點經由醫療團隊討論後,運用主動關懷及同理技巧,偕同安寧護理師、社工、心理師及宗教力量介入,幫助個案緩解疾病產生的不適及堅定信仰,讓個案及家屬能減輕遺憾使有尊嚴、有品質的面對死亡渡過臨終過程,達到生死兩相安。

關鍵字

年輕婦女 癌末 心靈困擾

並列摘要


The article discussed the nursing experience of a spiritually distressed young female patient diagnosed with cervical cancer. During the nursing period from Oct. 7th 2009 to Oct. 25th 2009, the author collected data via conversation, observation, and medical chart review. The author noticed that the patient was in pain due to the compression from metastatic tumor and affected by the anxiety from impending death, confirming the health issues as followed: chronic pain, disappointment in role expectation due to impending death, regret from unfinished wishes and spiritual distress. After the discussion among the medical team, the nursing emphasis would be to aid the patient in relieving the discomfort resulted from the disease and introduce faith through active care and empathy skills, in collaboration with hospice nursing staffs, social workers, psychologist and religious intervention, allowing the patient and the family to face the terminal stage of the disease with dignity and quality.

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