照護一位乳癌術後病患定期住院接受化學治療之護理經驗

A Nursing Experience of a Breast Cancer Who Post Operation Accept Chemotherapy Frequently in Hospital

許莉宛(Li-Wan Hsu) ； 林美娟(Mei-Chuan Lin)

《安泰醫護雜誌》 17卷3期 (2011/09) Pp. 27-38

https://doi.org/10.7078/TSMHMNJN.201109.0029

摘要

本文描述一位乳癌切除術後定期住院接受化學治療病患之護理經驗。於2009年1月16日至2009年6月4日六次住院接受化學治療的護理期間，筆者以個案為中心，透過護理觀察、會談及運用生理、心理、社會及靈性評估，發現個案有知識缺失/與對化學治療訊息不了解有關、焦慮及身體心像紊亂等健康問題。於照護過程中，筆者本著關懷病患之同理心，藉由主動關懷、傾聽、陪伴、支持等方式，擬定個別性的護理措施，並給予鼓勵與支持，協助個案克服疾病和化學治療所帶來的身心衝擊，使其能以正向的態度面對疾病並接受治療。

關鍵字

乳癌術後 ； 身體心像紊亂 ； 化學治療

並列摘要

This article describes a nursing experience about a patient who was diagnosed breast cancer post operation, the regular accepts the chemotherapy. The nursing experience based on the patient-centered care dated from 16th January to 4th June, 2009, the medical data was collected and nursing problem was accessed not only by means of direct care, observation, and written discussion, but by means of physical, psychological, social, and spiritual evaluations. The patient's health problems include knowledge deficit/ related to the chemotherapy, anxiety, and body image disturbance. While taking care of this patient, I offer caring, empathy, accompany and listening to establishment the patient could meet the physically, psychologically, socially, and spiritually problem, by sketch individual nursing measure, and gives encourages to support, assist patient overcome disease and chemotherapy brings body and mind impact, enables it to be treated by the forward manner facing disease acceptance treatment.

並列關鍵字

breast cancer post operation ； body image disorder ； chemotherapy