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協助一位初次罹患直腸癌病人學習自我照護腸造廔口之護理經驗

Nursing Experience of a Patient with Newly Diagnosed Rectal Cancer Learning Self-Care of Colostomy

摘要


本文描述一位中年男性初次罹患直腸癌,接受腫瘤切除及腸造廔口成形術學習自我照護腸造廔口之經驗。護理期間為2017年4月21日至4月23日,運用生理、心理、社會、靈性評估模式進行整體性資料收集與分析,確立問題有知識缺失、情境性低自尊、潛在危險性感染。透過文獻探討,衛教手術後預防感染知識與飲食攝取;分享成功案例引導正向自我肯定,使個案接受罹病事實,激勵照護腸造口學習動機。配合個案使用智慧型手機習慣,創新以手機錄製更換造廔口之影片與回覆示教方式,讓其學會照護知識與技巧,達最終自我照護目標。

關鍵字

直腸癌 造廔口 知識缺失

並列摘要


This article describes the experience of learning self-care by a male patient newly diagnosed with rectal cancer who received tumor resection surgery and colostomy. The nursing period spanned from April 21^(st), 2017 to April 23^(rd), 2017. We conducted holistic data collection and analysis using a physiological, psychological, social, and spiritual assessment model. The analysis revealed the following health-related issues: knowledge deficit, situational low self-esteem, and a potential risk of infection. A literature review provided relevant knowledge for the prevention of postsurgery infections and diet. Successful cases motivated the patient toward positive self-approval and negative emotion release. Additionally, the patient was inspired to accept his illness and to learn about postsurgical self-care. The changes in the fistula pouch were recorded and combined with progressive reply teaching on a cell phone, enabling the patient to acquire care-related knowledge and skills. The ultimate goal of self-care was attained.

參考文獻


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