照護一位乙狀結腸癌併肝轉移病人接受肝腫瘤切除術後之護理經驗

Caring for a Patient Underwent Sigmoid Colon Cancer and Liver Metastasis of Tumor Resection

蔡佩真(Pei-Chen Tsai) ； 陳淑芬(Shu-Fen Chen)

《馬偕護理雜誌》 9卷1期 (2015/01) Pp. 66-75

https://doi.org/10.29415/JMKN.201501_9(1).0006

摘要

本文描述照顧一位乙狀結腸癌併肝轉移接受肝腫瘤切除術後之護理經驗。照護期間為：2011年10月31日至11月8日，藉由身體評估、觀察、會談等方式收集資料，運用Gordon 11項功能性健康型態進行評估與分析，確立個案問題有手術前焦慮、潛在危險性感染、急性疼痛。針對上述護理問題提供適宜的照護措施：術前告知手術相關流程及教導放鬆技巧，以降低手術前焦慮；提供預防感染技巧、辨識傷口感染徵象，以預防住院期間發生感染情形；手術後傷口疼痛，教導疼痛緩解方法，以改善傷口不適情形，期盼藉由此護理經驗提供日後照護相似個案之護理同仁參考與分享。

關鍵字

乙狀結腸癌 ； 肝轉移 ； 肝腫瘤切除術

並列摘要

This article describes the nursing care of a patient who had sigmoid colon cancer and liver metastasis and underwent liver tumor resection. The period was from October 31 to November 8, 2011. From the conversation with the patient, it was noted that she was struggling with preoperative anxiety, risks of infection, acute pain that were monitored by checking with laboratory reports, the final pathology report, and Gordon's functional health patterns. In response to these questions providing appropriate nursing care, the measures taken were to give preoperative information on surgery-related processes and teach relaxation techniques to reduce anxiety before surgery; provide infection prevention techniques and recognize signs of wound infection, in order to prevent infection during hospitalization situations. If having postoperative wound pain, the patient would be provided the pain relief methods to improve the wound discomfort. Learning from this nursing care in this case could become a reference for other clinical nursing staffs.

並列關鍵字

sigmoid colon cancer ； liver metastasis ； liver tumor resection