一位子宮頸癌末期病人之照護經驗

本文探討一位子宮頸末期病人合併肺及腹膜轉移之護理經驗，護理期間自2013年10月24日至11月21日止，經觀察、身體評估、會談、查閱病歷記錄及團隊討論會等方式，發現病人與家屬之健康問題分別為:「疼痛」、「預期性哀傷」、「無望感」。護理過程中使用止痛劑及非藥物的輔助療法，如舒適擺位、精油按摩、音樂等方式來緩解疼痛的健康問題；並運用「四道人生」相互道謝、道歉、道愛及道別，協助面對臨終過程以達善終，並解決預期性哀傷的健康問題；運用生命回顧方式，重整病人生命經驗及賦予意義，協助病人接受疾病末期及面對死亡與後事交代，來解決無望感的健康問題，過程中經由原團隊及安寧照護小組努力與付出，使病人及家屬生死兩相安，期望提升臨終照護品質。

關鍵字

子宮頸癌；末期病人；無望感

並列摘要

The article was for a terminal patient who had cervical cancer with lung and peritoneal metastasis. The period of nursing was from October 24 to November 21, 2013. By using the observation, physical assessment, conversation, medical records reviewing and team discussion, we found that the patient and families health problems were pain, anticipatory grief, and hopelessness. In the process of the nursing, we used analgesics and non-drug complementary treatments, such as keeping comfortable position, massaging with essential oil, and listening to music to relieve pain. We encouraged the families to express their love, thanks, apology and farewell to the patient to be good dying, and resolved the health problem of anticipatory grief. Use of making life review, reorganized the patient's life experience and gave its meaning, and assisted the patient to accept their disease and arranged things before passing away to solve the patient's health problem of hopelessness. In the process, both the original medical team and the hospice care team worked hard to let the patient be good dying and their families be well being. We expected to improve the quality of end-of-life care.