惡性腫瘤蕈狀傷口之照護

惡性腫瘤蕈狀傷口是一種複雜且難以治癒的傷口，常合併疼痛、惡臭、大量滲液及出血等症狀，易造成癌症病人生理、心理、社會及靈性層面極大的衝擊。本文透過文獻查證，了解惡性腫瘤蕈狀傷口的特性、對癌症病人生理、心理、社會與靈性的影響，介紹惡性腫瘤蕈狀傷口的各項評估，並針對病人生理、心理、社會與靈性層面問題提供完善的護理照護，期望能增加臨床護理人員對惡性腫瘤蕈狀傷口照護之知識與技能，並應用於此類病人照護，以提升病人的生活品質。

關鍵字

腫瘤；蕈狀傷口；照護

並列摘要

Malignant fungating wound (MFW) is complex and difficult to cure. It often induces pain, malodour, exudate and hemorrhage. These symptoms may have physiological, psychological, social and spiritual impacts on the cancer patients. Therefore, this article aims to describe the characteristics of MFW and the physiological, psychological, social and spiritual impacts on the cancer patients with introduction of the MFW assessment and good strategies to care for these cancer patients with MFW. We hope this article can be applied in clinical practice and as a reference in the MFW holistic care in order to provide better care and improve quality of life for cancer patients.

並列關鍵字

tumor ； fungating wound ； nursing care

參考文獻

George, R., Prasoona, T. S., Kandasamy, R., Cherian, R., Celine, T., Jeba, J., ... Mathew, D. (2017). Improving malodour management in advanced cancer: A 10-year retrospective study of topical, oral and maintenance metronidazole. BMJ Supportive & Palliative Care, 7(3), 286-291. doi:10.1136/bmjspcare-2016-001166

Granero-Molina, J., Diaz Cortes, M. M., Marquez Membrive, J., Castro-Sánchez, A. M., Lopez Entrambasaguas, O. M., & Fernández-Sola, C. (2014). Religious faith in coping with terminal cancer: What is the nursing experience?. European Journal of Cancer Care, 23(3), 300-309. doi:10.1111/ecc.12150

Maida, V., Ennis, M., & Kuziemsky, C. (2009). The Toronto symptom assessment system for wounds: A new clinical and research tool. Advances in Skin & Wound Care, 22(10), 468-474. doi:10.1097/01.ASW.0000361383.12737.a9

衛生福利部統計處（2017）．105年主要死因統計結果分析．取自http://dep.mohw.gov.tw/DOS/lp-3352-113.html [Ministry of Health and Welfare (2017). 2016 statistics of causes of death. Retrieved from http://dep.mohw.gov.tw/DOS/lp-3352-113.html]

Google Scholar

American Association of Colleges of Nursing. (2007). Enhanc-inggerontology/geriatric nursing education for under- graduate baccalaureate and advanced practice nursing programs. Retrieved from http://www.aacn .nch.edu/Education/hartfordrfp01.htm

Google Scholar

被引用紀錄

賴淑婷、謝書華（2023）。協助一位口腔癌復發病人面對出血性蕈狀傷口之護理經驗。腫瘤護理雜誌，23(1)，93-102。https://doi.org/10.6880/TJON.202306_23(1).08

謝育儒、鄭惠蘭（2022）。照護一位乳癌合併蕈狀傷口個案之照護經驗。腫瘤護理雜誌，22(1)，99-111。https://doi.org/10.6880/TJON.202206_22(1).08

王謹熏、游馥蓮（2021）。陪伴一位癌症患者因腫瘤出血經歷死亡焦慮之護理經驗。腫瘤護理雜誌，21()，83-94。https://doi.org/10.6880/TJON.202112/SP_21.07

吳詩涵、林美惠（2021）。照護一位口腔癌末期病人之護理經驗。腫瘤護理雜誌，21()，61-72。https://doi.org/10.6880/TJON.202110/SP_21.06

標芸菱、王姮樺、陳繪竹、李文馨（2020）。一位乳癌併發惡性蕈狀傷口病人之照護經驗。腫瘤護理雜誌，20(1)，63-75。https://doi.org/10.6880/TJON.202006_20(1).05

國際替代計量

惡性腫瘤蕈狀傷口之照護

全文下載

主題瀏覽