一位女性修格連氏症候群合併淋巴結腫大病患之護理經驗

本報告是在探討一位65歲女性罹患修格連氏症候群合併淋巴結腫大之個案，接受淋巴切片檢查與症狀治療期間所面臨之身體與心理問題。本個案因外分泌腺功能受損導致眼睛、口腔及皮膚乾燥等症狀，合併有頷下腺腫、疱疹以及雙側鼠蹊部淋巴結腫大、頭頸部疼痛等，並因而產生憂鬱沮喪情緒。疼痛控制、乾燥症狀之防護及合併症之預防為照護與衛教之要點。護理期間自2010.07.09至2010.07.20止。筆者運用身體評估、觀察與會談方式收集資料，發現個案主要護理問題有疼痛、焦慮、潛在危險性傷害等，提供生理與心理及靈性層面之照護措施，包括疼痛控制與肌肉放鬆技巧、維持足夠營養、情緒壓力之抒發及緩解，以及乾燥症狀包括眼睛、口腔及皮膚等之照護，期間同時教導個案家屬學習參與照護活動，使能運用技巧舒緩個案壓力、促進舒適與減輕疼痛，並期望出院後能繼續與個案順利自我照顧。

關鍵字

修格連氏症候群；乾燥症候群；乾眼症；乾口症；淋巴結腫大

並列摘要

A patient with Sjögren's syndrome experiences physical and psychological suffering from many symptoms. Symptomatic therapies and nursing interventions are important for improving various dryness symptoms and preventing complications. The purpose of this report was to describe our nursing experience with a 65-year-old female with Sjögren's syndrome who underwent a lymph-node biopsy and received symptomatic therapies. A nursing process method was used to assist the patient on July 9~20, 2010. Data were collected through physical assessments, observations, interviews, and discussions with the caregiver. We found that the patient suffered from pain and anxiety, and was at risk of injury due to her health problems. We provided physiological and psychological nursing care to the patient, such as pain control, muscle-relaxation techniques, nutrition counseling, emotional distress relief, and symptomatic improvement. In addition, we invited the patient's husband to participate in patient care in order to learn living skills which will allow the patient to be able to care for herself and reduce symptom distress after discharge. Therefore, their quality of life will be improved.

並列關鍵字

Sjögren's syndrome ； sicca syndrome ； keratoconjuctivitis ； xerostomia ； lymphadenopathy

國際替代計量

一位女性修格連氏症候群合併淋巴結腫大病患之護理經驗

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