一位卵巢癌末期合併惡性肋膜積水病人之護理經驗

The Nursing Experience of Caring for a Patient with End-Stage Ovarian Cancer Secondary with Severe Pleural Effusion

王甄薇(Chen-Wei Wang) ； 古雪貞(Hsueh-Chen Ku) ； 張美靜(Mei-Ching Chang)

《馬偕護理雜誌》 9卷2期 (2015/07) Pp. 90-101

https://doi.org/10.29415/JMKN.201507_9(2).0008

摘要

本文在探討一位卵巢癌末期合併惡性肋膜積水的個案，對於疾病惡化所產生的生理不適及無望感的護理問題。筆者於護理期間（2012年6月15日至6月29日）運用Gordon十一項功能健康型態進行整體性評估，經由觀察、會談及身體評估等方法收集資料，確立個案現存護理問題有低效性呼吸型態、急性疼痛、無望感。在整個護理過程以真誠和同理心的態度與個案及家屬建立治療性人際關係，並針對個案的個別性提供整體性、連續性的評估及照顧，協助個案改善疼痛、提升生活品質並能正向面對疾病所衍生的問題及願意持續接受治療，盼此照顧經驗分享能提供臨床護理人員實務之參考。

關鍵字

卵巢癌 ； 肋膜積水 ； 無望感

並列摘要

This paper discussed the nursing issues arised from caring for a patient with end-stage ovarian cancer secondary with severe pleural effusion and explained her disease progression resulting in her physical discomfort and feeling of hopelessness. During the period of nursing care from 15th~29th June, 2012, the nursing care was based on Gordon's 11 functional health patterns using methods of observations, interviews and physical assessment to collect information, establish at least three nursing problems and diagnoses including ineffective breathing, acute pain experience, and feeling of hopelessness. Throughout the nursing process with a sincere attitude and empathy with the patient and their family, the therapeutic relationship was established between the patients and the nursing staff, and a comprehensive and continuous evaluation and care for individual cases was able to be provided. This also helped patients relieve pain and improve quality of life, be positive in facing the problems arising from the disease and willing to continue the treatment. I hope that this nursing care experience has shared clinical practice that provides a reference for other clinical nurses in future.

並列關鍵字

ovarian cancer ； pleural effusion ； feeling of hopelessness