首診晚期肺腺癌病人的照護經驗

A Nursing Experience of Caring for a Patient Who Are Newly Diagnosed with Advanced Lung Adenocarcinoma

林惠慈(Hui-Tzu Lin) ； 黃秀霖(Hsiu-Lin Huang)

《志為護理-慈濟護理雜誌》 20卷4期 (2021/08) Pp. 88-97

摘要

本文為描述首診晚期肺腺癌病人的照護經驗，於2018/7/2－7/17的照護期間，採Gordon十一項健康功能，進行整體性評估分析，確立氣體交換障礙、不確定感及家庭因應能力失調等健康問題。在社工、肺癌個管師及醫師的跨團隊合作下，提供肺部復健運動及標靶治療照護指導，強化病人及其家屬面對疾病與治療的因應能力，引導、協調與溝通進而重新修復家庭關係，藉由病友支持團體的協助，降低內心不確定感受；期望經由此護理經驗之分享，能提供日後護理同仁照護類似個案之參考。

關鍵字

標靶治療 ； 肺腺癌 ； 不確定感

並列摘要

This study describes nursing experiences in caring for a patient who are newly diagnosed with advanced lung adenocarcinoma. The study covers the nursing period from July 2 to July 17, 2018, and adopted the Gordon 11 Health Functions for overall evaluation analysis to determine the health problems of gas exchange disorder, uncertainty, and coping ability of the family. Based on a interdisciplinary teamwork among social workers, the case manager, and physicians, the care and guidance of lung rehabilitation exercises and target therapy were provided in order to strengthen the coping ability of patients and their families when facing the disease and therapy, guide, coordinate, and communicate during the repair of family relations, and reduce the inner sense of uncertainty with the assistance of wardmate support groups. Findings herein can be a reference for colleagues when caring for similar cases in the future.

並列關鍵字

lung adenocarcinoma ； target therapy ； uncertainty

參考文獻

方圓媛、洪佳黛、詹瑞君、李芸湘(2017)．談癌症病人家屬照顧者心理衝擊與介入方案．榮總護理，34(3)，220-226。https://doi.org/10.6142/VGHN.34.3.220

朱怡瑾、劉曼盈、胡嘉桂、蘇家慧、陳姿蓉、陳俏潓、吳麗敏(2018)．不確定感之概念分析．高雄護理雜誌，35 (2)，53-60。https://doi.org/10.6692/KJN.201808_35(2).0005

邱秀渝(2016)．癌症病人的治療決策過程．護理雜誌，63 (5)，12-18。https://doi.org/10.6224/JN.63.5.12

柯獻欽、鄭高珍(2018)．晚期非小細胞肺癌之化學治療與標靶治療．內科學誌，29 (3)，143-152。https://doi.org/10.6527/PVMN.202003_(39).0006

高玉鳳、郭于綾、李佳宜、曾雅婷、李淑慧、王意雅(2017)．提升腫瘤病人引流管傷口周圍皮膚完整性之專案．腫瘤護理雜誌，17(2)，47-59。https://doi.org/10.3966/168395442017121702005