- 期刊
透過臨床護理教學經驗－照護一位卵巢癌合併腹壁轉移之病人
The Nursing Experiences in Caring for a Case of Ovarian Cancer Patient Complicated with Abdominal Wall Metastasis
摘要
本文旨在探討一名31歲女性因卵巢癌合併腹壁轉移病人之臨床護理教學經驗。護生於2021年11月01日至11月26日護理個案期間，運用四大層面評估架構為依據，收集個案相關資料，以確立個案主要健康問題為皮膚完整性受損、疼痛及哀傷。皮膚完整性受損的部分，護生藉由觀察個案皮膚狀況及分泌物引流情形，運用衛教工具，衛教案母如何協助個案更換造口袋底座及相關注意事項。疼痛控制則善用個案興趣及專長，與個案討論如何轉移疼痛注意力，協助個案採用舒適護理減輕疼痛，並與團隊討論等方式以緩解個案疼痛。哀傷護理措施與個案及家屬先建立治療性人際關係，運用溝通技巧，鼓勵個案與家屬表達感受，轉介諮商提供個案及案母情緒抒發管道，以及提供社會資源支持團體。護生在指導下為個案所制定之個別性照護措施，期望藉由此次臨床護理教學經驗分享，提供實習臨床指導類似個案之參考。
並列摘要
This article explores the nursing experience of a 31-year-old patient with ovarian cancer and abdominal wall metastasis. During the nursing period from November 1st to November 26th, 2021, the author used the physiological, psychological, social and spiritual problems as the aspect to collect patient's information in order to establish the main health problems as elimination pattern changes, pain and grief. In the part of elimination pattern changes, by observing the skin condition and discharge of secretions, the author made a leaflet to teach patient's mother how to replace the collecting bag and adhesive flange. To solve the problems of pain, the interests and expertise of the patient would be great points to discuss how to divert the attention of the pain, recommend the patient to use a comfortable lying position to reduce pain, and integrate medical teamwork to find out the plans for patient to relieve the pain. For patient and her family's grief issue, the author built the therapeutic relationship with patient and her families, using communication skills to encourage them speak out their feelings with family members. Providing consultants for patient and her family to help them express their emotions as well as supplying social resources and supportive groups for them at the same time. This article makes an individual care plan for this patient by nursing students under guidance, and hopes to give reference for similar cases of clinical care through this nursing experience sharing.
參考文獻
延伸閱讀
- 陳盈穎、李彩緣、陳宥蓁（2021）。照護一位產後罹患卵巢癌併發腹水患者之護理經驗。澄清醫護管理雜誌，17(1)，56-65。https://www.airitilibrary.com/Article/Detail?DocID=18136702-202101-202101120011-202101120011-56-65
- 林麗珠、張美靜（2007）。照顧一位卵巢癌婦女接受手術的護理經驗。馬偕護理雜誌，1(1)，76-83。https://www.airitilibrary.com/Article/Detail?DocID=19904282-200701-201401140013-201401140013-76-83
- 鄭育眞、黃雅儀（2010）。一位卵巢癌復發病患經歷手術治療後之護理經驗。長庚護理，21(2)，256-264。https://doi.org/10.6386/CGN.201006_21(2).0014
- 許怡苹、周寶鈺、陳可欣（2017）。照護一位年輕末期卵巢癌個案的護理經驗。新臺北護理期刊，19(1)，83-91。https://doi.org/10.6540/NTJN.2017.1.008
- 王甄薇、古雪貞、張美靜（2015）。The Nursing Experience of Caring for a Patient with End-Stage Ovarian Cancer Secondary with Severe Pleural Effusion。馬偕護理雜誌，9(2)，90-101。https://doi.org/10.29415/JMKN.201507_9(2).0008