- 期刊
運用不確定感理論照顧一位卵巢癌育齡婦女之護理經驗
Nursing Experience of Using Uncertainty Theory to Care an Ovarian Cancer Woman in Childbearing Age
摘要
本篇個案報告是在描述一位卵巢癌育齡婦女面對疾病及治療預後不確定感之護理經驗，個案在罹患卵巢癌後，要面對治療的痛苦和死亡威脅，還要面對可能切除子宮、卵巢等影響女性身體心像的手術治療，甚至面臨生育能力喪失、婚姻關係改變等問題，讓個案深刻感受到疾病帶來的不確定感，於2015年8月11日至8月18日的照護期間，針對個案從入院面對疾病所帶來的衝擊，包括對家庭的羈絆及手術治療後不同階段的心理歷程，藉由觀察及會談並利用「疾病不確定感量表」評估個案對疾病不確定感的程度，發現個案有對疾病相關認知的模糊和缺乏、對術後照顧不確定感及治療預後恢復的不確定感等三項健康問題，運用Mishel的疾病不確定感理論為基礎，針對個案的不確定感提供適當的護理措施，在認知行為方面，利用陪伴、同理並引導正向思考；在資訊方面，給予疾病相關知識諮詢，協助建立醫病間良好的雙向溝通管道；社會支持方面，建議參加相關支持團體及鼓勵家屬或有意義的人參與照護等護理措施，協助及降低住院期間的不確定感，進而幫助個案達到適應狀態。
並列摘要
This case report described the nursing experience of using uncertainty theory to care an ovarian cancer woman in childbearing age. The patient felt the uncertainty due to the pain caused by treatment, the death threat, possible surgeries may change the psychological/ physical situation such as Hysterectomy, even the problems of losing fertility and marriage relationship changes. The period of nursing care was from August 11 to August 18. 2015. Mishel's uncertainty theory was used to assess by interview and observation techniques to collect relevant information. The health care problems were confirmed as following: first, lack of the knowledge and information about ovarian cancer. Second, feel uncertainty about postoperative care and treatment; third, uncertainty feeling about the disease's prognosis and recovery. According to the health care problems, we provided the following strategies to help the patient facing her disease: companion, empathy, providing information and consultations related to her disease, attending supporting groups or encouraging family to participate the caring process, and professional care to reduce the sense of uncertainty. The nursing experience in this case may become a reference for clinical nursing staffs.