照護一位頰膜癌病人合併腫瘤蕈狀傷口之護理經驗

Nursing Experience of a Cancer Patient with Malignant Fungating Wound

洪立嚴(Li-Yan Hung) ； 陳蕙茹(Hui-Ju Chen)

《源遠護理》 4卷2期 (2010/11) Pp. 59-66

https://doi.org/10.6530/YYN.2010.4(2).08

摘要

本文是探討一位頰膜癌合併腫瘤葷狀傷口病人的護理經驗，護理期間自2008年7月11日至2008年8月24日止，筆者運用羅氏適應模式為評估架構，進行生理、心理、社會層面之適應行為的資料收集與分析，確立個案的護理問題有慢性疼痛、皮膚完整性受損及社交隔離等護理問題。教導個案運用緩解疼痛的護理措施，以緩解傷口疼痛，針對個案傷口的狀況以舒適護理為目標，提供符合病人個別性的照護方式，並增進家屬的照護技巧，提供促進溝通的方式，維持整潔的外觀，避免與人群隔閡或社交退縮，進而恢復正常生活狀態，維持良好之生活品質。

關鍵字

口腔癌 ； 蕈狀傷口 ； 傷口照護

並列摘要

This article discusses the nursing experience over a six-week period of a cancer patient with buccal malignancy and an ulcerative wound. Assessment and data collection were based on Roy's adaptation model addressing aspects of physiological, psychological and social adaptive behavior. The goals of care were to promote patient and family normalcy in daily activities and quality of life quality. Nursing problems were chronic pain, poor skin integrity and social isolation. Nursing interventions included patient and family teaching on palliative care of chronic pain, proper wound management, maintaining physical hygiene and appearance, effective communication skills, and prevention of social withdrawal.

並列關鍵字

buccal carcinoma ； fungating wound ； wound management