- 期刊
一位單親媽媽罹患乳癌行乳房重建手術之護理經驗
Taking Care of a Single Mother with Breast Cancer Receiving Breast Reconstruction Surgery
摘要
本文描述一位單親媽媽罹患乳癌行乳房重建手術的護理經驗，筆者照護期間為2016年11月16日至2016年11月22日，藉由觀察、傾聽、會談及臨床照護等方式，運用生理、心理、社會及靈性等層面進行整體性評估，確立主要健康問題有焦慮、組織完整性受損及主要照顧者角色緊張等。於照顧期間，利用傾聽及關懷方式，引導個案表達身為單親媽媽接受重建手術的焦慮及擔憂，給予心理支持，提供相關社會組織團體及孩童托育資源，妥善安排照顧人力及孩童安置機構，降低其緊張、焦慮等負面情緒；針對主要照顧者年紀、語言及教育程度，提供個別性傷口換藥及引流管留置照護，錄製台語版教學影片，替代衛教單張繁瑣的文字敘述，並利用簡易數字及鮮明的顏色標註在引流管上，以利照顧者區分及紀錄，提升返家後照護技巧，希望此經驗可做為日後相關疾病照護之參考。
並列摘要
This article explores the experience of nursing a single mother with breast cancer during the autologous breast reconstruction surgery. The period of nursing care was from November 16th to 22nd, 2016. We assessed the overall function of patient including the physiological, psychological, social and spiritual aspect through analysis of data collected by observing, listening, interviewing and clinical care. As a result, we confirmed that the patient suffered from some psychological and health problems such as anxiety, impaired tissue integrity, and caregiver role strain. To restore the patient's positive perception of body image, through caring and listening, we guided the patient to express anxiety and feelings about breast cancer reconstruction surgery. We referred her to various organizations for social services and child care centers to help her arrange nursing care and respite child care in order to reduce her negative emotions. In consideration of her age, language barriers and education level, we provided individualized care instruction for the wound care and drainage tube care at home. We showed her the self-care skills for the dressing process through her own mobile phone video recording in Taiwanese in lieu of the complicated wordy description in the health education leaflets. We also used simple color and number coding technique to help her identify the drainage tubes for logs. We hope this experience can be seen as a useful reference for similar cases in the future.