急性白血病復發之護理：－個案報告

Recurrence of Acute Myelogenous Leukemia: A Case Roport

高綺吟(Chi-Yin Kao) ； 黃秀梨(Shiow-Li Hwang)

《安寧療護雜誌》 11卷4期 (2006/11) Pp. 426-438

https://doi.org/10.6537/TJHPC.2006.11(4).7

摘要

本個案報告為護理人員協助一位急性骨髓性白血病復發病人建立希望的護理經驗，運用Farran, Wilken & Popovich提出的臨床希望評估架構(clinical assessment of hope)，針對病人的健康、與他人關係、意志、參與活動的過程等四個層面做評估，發現病人出現無望感之問題，藉由協助病人執行自我照顧，增加自我控制力與舒適感、加強病人的社會支持度，建立關懷照顧、支持的環境與支持團體、重新建立希望，使其找到生命的意義與價值、幫助病人對後續治療擁有正向態度與希望，讓病人有正向的治療態度，且增加希望程度，護理過程中發現希望程度提高的同時，社會持度也提升。本文藉由希望的評估與護理措施，期待幫助護理人員在照顧病人時能有所助益。

關鍵字

急性骨髓性白血病 ； 希望 ； 護理

並列摘要

The purpose of this report was to help a recurrent acute myelogenous lenkemia to patient establish hope by using clinical assessment of hope. Finding the patient was apparent loss of hope through assessment his four dimensions about health, connecting with others, living purpose, participating in the activity. After assisting his ability of self care, enhancing the power of self control and the social support, establishing the caring environment and supportive groups, this patient found the meaning and value of life and had a feeling of hope. In this nursing experiment, we detected the hope also improving the degree of social support. Health care professionals may like to use the nursing experience of this article to promote patients with hopelessness.

並列關鍵字

acute myelogenous leukemia ； hope ； nursing care