一位胃癌末期年輕女性病人之護理經驗

本文是探討一位胃癌末期年輕女性，因胃癌復發，腹腔中腫瘤壓迫腸子合併骨骼轉移之照護經驗。筆者藉由Gordon十一項健康功能型態，確立主要健康問題為慢性疼痛、營養不均衡：少於身體需要及無望感。經與醫療團隊討論，調整治療及照護方向；個案剛開始無法接受自己病況已是生命末期，藉由緩和醫療諮詢會議，與個案及家屬充分溝通，協助個案及家人面對死亡，達成全人之照護，使個案能以正向的態度，面對疾病的衝擊。建議可透過跨領域照護討論會共同討論及經驗分享，學習癌症末期照護及溝通技巧，以提升癌症末期照護品質。

關鍵字

胃癌末期；護理經驗；年輕女性病人

並列摘要

This article examines the nursing experience of a young woman in the terminal stage of gastric cancer recurrence, accompanied with abdominal tumor compressing against the intestines and bone metastases. The author used Gordon's eleven functional health patterns to establish that the main health problems were chronic pain, malnourishment, and feeling of despair. Through discussions with the medical team, the treatment and caring strategies were adjusted. From the beginning, the case wasn't able to accept that her condition was terminal. Through palliative medical consultations and sufficient communication with the patient and her family, we implemented holistic health care to help the patient stay positive toward the impact derived from the illness. Based on this experience, Wwe suggest that the quality of care for patients with terminal cancers can be improved by learning nursing skills through interdisciplinary consultations and experience sharing.

並列關鍵字

end-stage gastric cancer ； nursing experience ； young female patient

參考文獻

方緣圓、洪佳黛、詹瑞君、李芸湘(2017)．談癌症病人家屬照護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。

李貞慧、林宜芬、金惠民(2015)．癌末病人安寧療護之營養照護．北市醫學雜誌，12，27-34。https://doi.org/10.6200/TCMJ.2015.12.SP.04。

吳尚倫、謝政智(2017)．癌症相關疼痛之藥物治療新觀念．臺灣臨床藥學雜誌，25 (2)，100-108。https://doi:10.6168/FJCP.2017.2502.02。

辜美安、蔡坤維、林詩淳(2015)．非藥物方法緩解老年人慢性疼痛的實證醫學．臺灣老年醫學暨老年學雜誌，10 (2)，63-72。https://doi.org/10.29461/TGG.201505_10(2).0001。

楊子穎、邱哲琳、楊雀戀(2018)．胃癌病人的營養照護．臨床醫學月刊，82 (6)，725-729。https://doi.org/10.6666/ClinMed.201812_82(6).0133。

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