- 期刊
一位何杰金氏淋巴瘤患者於門診化學治療之照護經驗
The Nursing Experience of a Patient with Hodgkin's Lymphoma Receiving Outpatient Chemotherapy
摘要
本文探討一位何杰金氏淋巴瘤病人於門診接受化學治療，病患皮膚因化療副作用產生破皮搔癢，對疾病治療預後感到不確定性之照護經驗。護理期間於2017年08月03日至2017年10月05日，運用Gordon十一項功能性健康型態進行評估，藉由訪談、觀察、直接照護、查閱病歷等方式，確立個案有焦慮、舒適障礙∕睡眠型態紊亂及皮膚完整性受損等護理問題。護理期間運用關懷陪伴建立信任護病關係，提供化學治療、port-a人工血管照護等相關知識，增加對疾病控制感。擬訂個別性的護理措施，提供完整的疾病資訊、搭配喜愛音樂與漸進式肌肉放鬆等方式減輕焦慮感，穴位按壓止癢、皮膚照護等。使其身、心皆獲得適切性照護，完成化學治療療程。期望經此照護經驗分享，以供臨床實參考之用。
並列摘要
This report studies the nursing experience of a patient with Hodgkin's lymphoma, who received outpatient chemotherapy. The patient has symptoms of skin itching and impaired skin integrity -the side effects caused by the chemotherapy, and felt highly anxious about the uncertainty of the treatment. During the nursing care period, from Aug. 03,2017 to Oct. 05, 2017, the study evaluates the condition of the patient with the ＂Gordon's 11 Function Health Patterns'' system, including interviews, observation, actual care ,and review of medical records, which confirms that the patient has anxiety, discomfort, disturbed sleep patterns, and impaired skin integrity. Caring companion was employed to establish the trust in the nurse-patient relationship. The study provides the patient relevant nursing knowledge about chemotherapy and port-a insertion, to enhance his sense of controlling over the disease; in addition the study provides the individual care for the patient ,comprehensive medical care information, favorite music, progressive muscle relaxation, acupressure, and skin care in order to reduce the anxiety. Patients can simultaneously receive appropriate physical and mental care to complete the chemotherapy treatment .This experience may serve as a reference for clinical practice.
延伸閱讀
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- 黃郁漪、劉淑慧、林佩昭（2016）。A Nursing Experience of a Cholangiocarcinoma Patient Undergoing Chemotherapy with Emotional Distress。志為護理-慈濟護理雜誌，15(5)，132-140。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201610-201610240006-201610240006-132-140