一位腸造口術後患者面對身體心像紊亂之護理經驗

A Nursing Experience of Helping a Colostomy patient with Body Image Disturbance

黃家麗(Chia-Li Huang) ； 唐秀燕(Hsiu-Yen Tang)

《嘉基護理》 11卷2期 (2011/12) Pp. 47-57

https://doi.org/10.29936/DMFCCHJN.201112.0005

摘要

本文描述一位女性患者面對腸造口術後身體心像紊亂之護理經驗。筆者於2009年2月18日～28日照顧期間，運用Gordon十一項功能健康評估為工具，以觀察、身體評估、會談收集身、心、社會及靈性資料，發現個案有急性疼痛、焦慮、身體心像紊亂及潛在危險性感染等健康問題。筆者以教學圖片及模具為教材，教導個案與其夫學會造口清洗；運用非藥物方式與傾聽技巧有效減輕個案疼痛及焦慮；經由提供術後自我照顧資訊及介紹成功適應之病友分享經驗，順利協助個案勇於面對身體心像改變所帶來的衝擊，重建自信，回歸其熟悉的生活型態。

關鍵字

腸造口 ； 身體心像紊亂

並列摘要

The case study described a nursing care experience of a colostomy female patient with body image disturbance. From February 18(superscript th) to 28(superscript th), 2009, we used Gordon's 11-item Functional Health Pattern as assessment tool, through observations, physical examination and interviews to collect the patient's physical, psychological, social and spiritual data. The primary health problems included acute pain, anxiety, body image disturbance and risk for infection. We used graphic photograph and approximate real mold as teaching materials for instructing the patient and her husband effectively cleaning colon reservoir step by step. Besides, we provided alternative methods and listening skill for decreasing patient anxiety and releasing her acute pain. Furthermore, we provided disease-related self-care information and referred successful case sharing experience in order to enable the patient both conquered her fear and impact of body image disturbance and re-established self-confidence for returning normal life.

並列關鍵字

colostomy ； body image disturbance