照顧一位單親家庭青春期癌症復發病童之護理經驗

Caring for an Adolescent with Cancer from a Single-Parent Family

黃雅文(Ya-Wen Huang) ； 蔡榮美(Jung-Mei Tsai) ； 呂明蕙(Ming-Huei Lu) ； 吳晶萍(Ching-Ping Wu)

《馬偕護理雜誌》 4卷2期 (2010/07) Pp. 79-90

https://doi.org/10.29415/JMKN.201007_4(2).0008

摘要

本文旨在探討一位單親家庭罹患白血病之青少年，在得知癌症復發後面臨到身、心、靈和社會方面的衝擊，及單親母親面對獨子病情復發出現角色緊張與調適的過程。護理期間自2007年4月1日至5月10日運用Gordon十一項護理評估藉由信任與治療性溝通方式，收集、分析資料，發現個案有「疼痛」、「潛在危險性廢用症候群」及長期住院治療出現「社交隔離」，而案母因單親家庭需長期獨立照顧出現「主要照顧者角色緊張」等護理問題，訂定護理計劃後給予個別性護理措施後，減輕個案因疾病、侵入性治療所造成之疼痛，尊重其發展任務的需求及運用同理心，使個案能自我表達因疾病復發的想法及社交隔離感受，進而增進正向情緒。藉此護理過程，除協助病童及家屬提升生活品質外，亦期能提供護理人員在照護類似個案有更多元性的護理參考。

關鍵字

單親家庭 ； 青春期 ； 癌症復發

並列摘要

An adolescent with a single mother presented with recurrent cancer. Nursing care required attention both to the physiological and psychological condition of the patient and to his mother, who had to deal with the stress of her son's illness with little support. The 11 items of the Gordon's Functional Health Pattern Assessment Tool, including both subjective and objective data, were assessed through interview and observation. Problems identified for the patient included, pain, the potential for disuse syndrome, and the social isolation engendered by a long period of hospitalization. The mother was the sole caregiver and therefore faced the associated stress on her own. Based on an understanding of the patient's previous treatment and current status, the needs of adolescents in general, and pscychosocial factors for the family, we developed a nursing plan to provide support and encouragement through appropriate communication and expression of sympathy. The objective was to enhance the patient's capacity for self-care and to help both him and his mother adjust to his current condition in order to help him achieve the best possible quality of life.

並列關鍵字

single parent family ； adolescent patient ； cancer recurrence