- 期刊
一位初診斷乳癌病患接受先導性化學治療併標靶治療之護理經驗
Nursing Care Experience of a Newly-diagnosed Breast Cancer Patient on Neoadjuvant Chemotherapy and Target Therapy
摘要
本文描述一位適婚年齡女性，面臨乳癌初診斷個案，採取先導性化學治療合併標靶治療與接受外科治療之護理經驗。個案治療期間為2016／11／23至2017／04／13，治癒後仍持續追蹤至今，筆者以腫瘤個管師角色，藉由訪談、觀察與直接照護等方式收集資料，並運用整體性護理評估，確立個案主要健康問題為：焦慮、身體心像紊亂、保護能力低下等問題。護理過程中擬訂個別性、整體性及持續性的護理計畫，以關懷、傾聽及同理心鼓勵個案表達內心感受，並衛教情緒宣洩方法，降低病患罹病心裡之衝擊及害怕；也藉由醫療團隊主動介入協助，運用醫病共享決策工具，幫助個案選擇治療方式，並順利接受治療，緩解其焦慮與擔心的情緒；運用專業知識及技能，協助緩解化學治療期間所引起之生理不適；另外，提供相關癌症資源資訊，安排乳癌病友分享其經驗，最後個案能以正向的態度接受疾病及治療，適應右側全乳切除後身體的改變，進而重回規律的生活。將此護理經驗提出分享，期望提供護理人員日後照顧此類個案之參考，進一步提升癌症病患的生活品質。
並列摘要
This paper describes the nursing care experience of a newly diagnosed young female breast cancer patient who accepted the Neoadjuvant chemotherapy and target therapy. The nursing care period was from the 23th of November in 2016 to the 13th of April in 2017 with post-therapy following-up to date. The holistic nursing care was conducted by an oncology case manger to identify the nursing issues through interviews, observation and direct care. The primary finding revealed anxiety, body image disturbance, insufficient self protection etc. During the period of care, the individual, holistic and continuous care plan were established to alleviate the psychological impact and fear from the disease. The plan included encouraging patient to express her feelings, guiding her to proper emotional outlets, sharing the professional knowledge to diminish the physical discomfort from chemotherapy. Furthermore, to relieve the anxiety and worries about the treatments, the decision-making(SDM) tools were provided by medical team to help patient choose and accept appropriate treatment. Therefore, the patient accepted and treated the disease with a positive attitude by sharing her experience, adopted to the new body image after right side mastectomy and returned to a regular life. This nursing experience could provide peer nursing staff with a reference for caring for similar patients in the future.
參考文獻
延伸閱讀
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