- 期刊
一位罹患口腔癌第四期患者接受手術治療之護理經驗
Nursing Experiences of a Patient with Stage IV Oral Cancer Underwent Surgery
摘要
本文是敘述照顧一位罹患口腔癌第四期患者接受手術治療之護理經驗，護理期間自2011年2月17日至2011年3月14日，藉由與個案互動、觀察、會談及運用照顧技巧等方式，收集身、心理、社會及靈性等層面資料，加以分析並歸納出個案之健康問題，包括皮膚完整性受損、自我照顧能力缺失、焦慮及身體心像紊亂等問題，針對上述健康問題，筆者於護理期間運用照顧技巧，以持續性照護及主動關懷個案，與個案建立良好之治療性關係，擬定個別性之護理計劃，教導照顧者及個案傷口照護方法及技巧，加強訓練個案日常生活自我照顧技巧，以提升自我照護能力，運用資源協助個案解決照顧及經濟上的焦慮問題，引導表達術後身體心像紊亂改變之內心感受，應用陪伴及傾聽以紓解個案心理的壓力，鼓勵參加頭頸癌病友團體，並介紹成功個案與個案進行經驗分享及問題因應，繼而使個案能面對及接受身體改變的事實。期望藉由此次照護經驗，提供護理人員除了重視生理層面的照護之外，更須重視心理及社會層面的照顧，且適時給予提供協助。
並列摘要
This article described the nursing care of a male patient with stage IV oral cancer. He received surgical treatment and stayed at our ward from February 17 to March 14 in 2011. Data was collected by using direct observation and conversations with the patient. Patient problems were identified through physical, psychosocial, and spiritual assessments during the nursing process. Data analysis suggested that the patient's problems included: impaired skin integrity, self-care deficit, anxiety and disturbed body image. The primary nurse established a good therapeutic relationship with the patient during the period of the nursing interventions provided. Nursing education about wound care and self-care management was provided to enable the patient to take care of himself at home. We developed individualized nursing care plans and utilized the available resources to help resolve the patient's economic condition and anxiety. To alleviate the patient's psychological stress, the nurse accompanied the patient and listened to his feelings about the changes of his body image postoperatively. To help him face and accept the changes of his body image, the nurse shared the stories of some other patients who had successful experiences of adapting to the changes of the body image. She also encouraged him to join a group of Head and Neck Cancer Friends. It is expected that our nursing care experiences can remind nurses not only emphasizing the physiological care but also paying attention to the psychological and social problems. Furthermore, nurse can provide the timely assistame to those patients with similar diagnosis.
延伸閱讀
- 蘇莉婷、劉倖吟、相青琪（2011）。照顧一位罹患口腔癌患者之護理經驗。腫瘤護理雜誌，11(2)，49-62。https://doi.org/10.6880/TJON.201112_11(2).05
- 韓定寰、謝瑩滿、韓晶彥（2009）。照顧一位口腔癌病患術後之護理經驗。高雄護理雜誌，26(2)，42-52。https://doi.org/10.6692/KJN-2009-26-2-5
- 楊秀霞、姚美惠、吳素綿、何秀玉（2021）。一位初次診斷食道癌第四期患者之護理經驗。彰化護理，28(3)，115-127。https://doi.org/10.6647/CN.202109_28(3).0013
- 劉瓔宜、何修嫺（2012）。照顧一位口腔癌病人手術後之護理經驗。台灣健康照顧研究學刊，(12)，71-85。https://doi.org/10.29750/TJTHCA.201203.0004
- 李秀芬（2018）。A Nursing Experience of an Oral Cancer Patient with Multiple Surgeries。志為護理-慈濟護理雜誌，17(6)，105-116。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201812-201812280010-201812280010-105-116