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扁桃腺小細胞癌病人同步化學治療及放射線治療之護理經驗

Nursing Care Experience of a Patient with Tonsil Small Cell Carcinoma Undergoing Chemotherapy and Radiotherapy

摘要


本文主旨在描述照顧一位扁桃腺小細胞癌個案接受同步化學治療及放射線治療之護理經驗。照護期間自2009年12月7日至12月22日,運用Gordon十一項健康功能型態評估,經由觀察、會談、身體評估技巧蒐集資料,確立個案有慢性疼痛、口腔黏膜障礙、失眠、無望感等健康問題。以個別性設計緩解疼痛及改善睡眠品質之護理措施,提供口腔黏膜照護相關知識,以緩解慢性疼痛及失眠問題,提升個案口腔自我照顧技巧;以關懷及同理的方式鼓勵個案表達內心感受,提供適當支持,給予正向鼓勵,舒緩個案之無望感,協助積極面對治療。

並列摘要


The purpose of this study is to describe the two-week nursing care experience of a patient diagnosed with tonsil cancer undergoing concurrent chemoradiotherapy. The assessment and data collection used Gordon's 11 health functional models through observation, interviews and physical assessment. The patient's nursing care problems included chronic pain, oral mucosal disorder, insomnia and hopelessness. The individualized care plan and care measures aimed at alleviating pain, improving sleep quality, providing oral mucosal care, empathizing with patient, encouraging patient to express feelings, providing appropriate support and assistance to ease the sense of hopelessness and continue cancer treatments.

被引用紀錄


曾秀如、曾翠怡、吳靜儀、黃美玲、陳姝年(2018)。降低頭頸癌接受放射線治療病患之口腔黏膜炎Grade II、Grade III的發生率領導護理19(2),91-105。https://doi.org/10.29494/LN.201806_19(2).0008

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