鼻咽癌病人接受同步化學治療及質子放射線治療之護理經驗

本文描述一位鼻咽癌個案接受同步化學治療及質子放射線治療之護理經驗。護理期間自2019年9月10日至11月27日，藉由與個案互動、觀察、會談及身體評估技巧等方式，運用Gordon十一項健康功能型評估，確立個案有口腔黏膜受損、皮膚完整性受損及無力感等健康問題，透過護理維持口腔清潔濕潤、傷口照護及藥物減緩疼痛，增加舒適度，予以關懷及同理，鼓勵病人表達感受，引導以過去正向經驗肯定自我，根據病人喜好，討論出增加正能量的活動，提升生活控制感，以利治療後順利返家照顧幼兒。建議在照護年輕初次診斷癌症接受放化療的病人，應深入探索病人內心的恐懼及在意的事，尊重文化差異，衛教治療過程及副作用，提供個別性、高品質且完善之國際醫療照護。

關鍵字

鼻咽癌；口腔黏膜受損；皮膚完整性受損；無力感；化學放射治療

並列摘要

This article describes the nursing experience of a nasopharyngeal cancer patient who is receiving concurrent chemotherapy and radiotherapy. The nursing period lasted from September 10 to November 27 in 2019. Patient data was collected through interactions, interviews, physical assessments, and evaluated with Gordon's 11 functional health patterns. The patient's health problems were identified as oral mucous membrane impairment, skin integrity impairment and feelings of powerlessness. Nursing care was applied to increase oral hygiene, wound care, and pain medication. Additionally, caring was provided with empathy, listening to the patient's needs, and encouraging positive thinking. Activities were suggested based on the patient's preferences; this increased her positive energy and made her feel she had more control over her life. Staff respected the patient's cultural differences, educated her on the treatment process and side effects, and provided individual, high-quality complete international medical care.

並列關鍵字

concurrent chemoradiotherapy ； feelings of powerlessness ； nasopharyngeal cancer ； powerlessness ； oral mucous membrane impairment ； skin integrity impairment

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