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照顧一位未曾生育子宮頸癌婦女之護理經驗

The Nursing Experience of Caring for a Nulliparoused Woman with Cervical Cancer

摘要


對多數女性而言,生育是一種自我延續的重要歷程,一旦罹患子宮頸癌對傳宗接代會感到很大的壓力和焦慮,本文在描述一位35歲未曾生育子宮頸癌婦女之護理經驗。筆者於2012年8月6日至2012年8月16日以直接照護、觀察、傾聽、會談等技巧收集資料,並運用Gordan十一項功能性健康型態進行評估,發現健康問題包括:焦慮、急性疼痛、性生活困擾、排尿型態改變,筆者除了滿足生理需求外,運用開放性問句和澄清溝通技巧,建立信任關係,主動陪伴關懷,正向支持,多元教學工具的個別護理指導,整合婦癌醫護團隊合作,使得個案對整個醫療過程感到感恩,達到正向的適應。期盼藉此臨床經驗之分享,提供護理人員臨床照護育齡婦癌婦女時之參考。

並列摘要


For most women, bearing children is the important progress of life expansion. And they're supposed to feel stressed and anxious, once they are diagnosed with cervical cancer. It's, in this article, about the nursing experience of taking care of a 35 year-old woman who had never been pregnant and was diagnosed with cervical cancer. After collecting datum via indirect nursing, observation, attentive-listening, conversation from Aug. 6th to 16th in 2012 and evaluating with "Gordon 11-Items Functional Health Patterns", I discovered several health problems of this patient: anxiety, acute pain, inconvenience and frustration in sex life, and the change of micturition. Beside satisfying physical desire of the female patient, it made her feel grateful to the whole medical process and have positive adaptation by using opening question, communication skill, establishing of trust relationship, positive keeping company, caring and support, individual nursing plan with variety of teaching tool, and cooperating with women's cancer care team. I wish this sharing of my clinical experience with all the readers could be the reference to relative nursing cases for nursing staff.

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