照護一位復發性膀胱癌病患之護理經驗

Nursing Experience of a Patient with Recurrence Bladder Cancer

王宥茵(You-Yin Wang) ； 潘淑卿(Shu-Ching Pan) ； 林怡屏(Yi-Pin Lin)

《安泰醫護雜誌》 20卷1期 (2014/06) Pp. 1-11

摘要

本文旨在描述照護一位復發性膀胱癌病患所面臨的身心衝擊。護理期間自2011年5月23日至6月11日，經由直接護理、觀察、會談等方式進行生理、心理、社會及靈性的評估，依護理診斷，確立護理問題有：無望感、營養狀況少於身體所需、排泄型態改變：腹瀉、心靈困擾：對宗教信仰的不信任。照護期間主動關懷個案，以同理心及溝通技巧與個案建立良好治療性關係，針對個案健康問題提供適當護理措施，協助個案正向面對癌症復發帶來的衝擊，增進其自我健康維護能力，緩解個案身、心的不適。筆者提出此護理經驗與護理同仁分享，以供日後照護類似病患之參考。

關鍵字

腹瀉 ； 無望感 ； 心靈困擾 ； 癌症復發

並列摘要

This article describes a patient with bladder cancer suffering from physical and mental impairment. Data of observation physical, psychological, social, mental assessment and interview were collected from May 23th to June 11th 2011. The identified problems were hopelessness, malnutrition, change of elimination pattern due to diarrhea and mental distress due to distrust of religion. During the period of care, the author used empathy and communication skills to gain the patient’s trust. In addition, the author helped the patient to face the impact of cancer recurrence, increased his ability of self-health maintenance and felt more comfortable. The author shares this nursing experience as a reference for others who might care for the same patient.

並列關鍵字

Diarrhea ； Hopelessness ； Mental distress ； cancer recurrence