一位肝癌患者接受手術之護理經驗—概念構圖應用

A Nursing Experience of a Hepatocellular Carcinoma Patient Over the Pre and Post Operative Period-concept Map Application

吳卉蕎(Hui-Chaio Wu) ； 周玉英(Yu-Ying Chou) ； 郭涵元(Han-Yuan Kuo) ； 戴羽孝(Yu-hsiao Tai) ； 方又圓(Yu-Yuan Fang)

《輔仁醫學期刊》 9卷2期 (2011/06) Pp. 113-123

摘要

全球肝癌患者約75%集中於亞洲地區，是全球排名第五位的癌症，台灣男性癌症死亡原因的首位就是肝癌。本案是一位44歲肝癌的男性，接受肝切除手術，照顧期間由99年7月5日—99年7月13日。依據對個案觀察、會談及參與治療過程的訊息，藉由概念構圖呈現，在相關概念有手術前、手術後急性期照護及術後疾病適應，形成的護理問題有：焦慮、健康維護能力改變、身體活動功能障礙、急性疼痛、有效醫療處置計畫及健康尋求行為。根據文獻的查證，討論並擬定出護理活動和計畫，協助個案及家屬對疾病的了解和接受治療，藉此提升對肝癌護理照顧的經驗與知識。( 輔仁醫學期刊 2011; 9 (2): 113-123)

關鍵字

肝癌 ； 肝切除護理 ； 概念構圖

並列摘要

Around 75% of liver cancer patients in the world are living in the Asian areas. Liver cancer ranks as the fifth cancer globally, and is the first cause of death by cancer in Taiwan. The present article describes our nursing experiences of a 44-year male patient suffering from hepatocellular carcinoma and subjected to hepatectomy, covering the period of July 5-13, 2010. Data were collected via case observation and interview while the nurses involved collaboratively in the process of treatment. The concept map, composed of three stages of nursing including pre-operative stage, post-operative acute stage as well as the subsequent disease adaptation, indentified the following patient problems: (1) anxiety, (2) ineffective health maintenance, (3) impaired physical mobility, (4) pain, (5) effective therapeutic regimen, and (6) health-seeking behavior. After having reviewed relevant literature, we discussed with the patient and family to work out the plan for nursing intervention, to help them understand the disease and comply with the treatment protocol. This study can also improve nurses’ experiences and skills in nursing liver cancer patients. (FJJM 2011; 9 (2): 113-123)

並列關鍵字

hepatocellular carcinoma ； hepatectomy nursing ； concept map