腰酸背痛的隱憂－談脊椎轉移性腫瘤

Metastatic Spinal Tumor

王金蓮(Jin-Lian Wang) ； 林麗華(Li-Haw Lin) ； 簡子洋(Tzu-Yang Chien) ； 廖孟雪(Meng-Hsueh Liao)

《源遠護理》 14卷1期 (2020/03) Pp. 51-55

https://doi.org/10.6530/YYN.202003_14(1).0006

摘要

腰背疼痛已成為現代人常見的毛病，但也可能暗藏脊椎腫瘤的危機，脊椎腫瘤多半是身體其他部位的惡性腫瘤，經血液或其他方式轉移而來，一旦脊椎被癌細胞侵蝕，象徵著癌症已到晚期，病人將承受疼痛、運動功能損傷及病理性骨折的危機。隨著癌症治療的進步，延長許多癌症病人存活時間，卻因而增加轉移的機會，本文簡述脊椎轉移性腫瘤照護，提供臨床第一線護理人員，協助無助病人、家屬面對突如其來的惡耗後忐忑的情緒，提供照護相關知能，包含疼痛護理處置，預防病理性骨折，並透過醫療團隊的力量，支持、陪伴病人及家屬面對癌末衝擊，讓病人及家屬生死兩無憾，提升癌症照護品質。

關鍵字

脊椎腫瘤 ； 轉移性腫瘤 ； 病理性骨折

並列摘要

The article discusses the direct care of a cancer patient with bone marrow metastasis. Low back pain has been a common problem among us; however, it contains a hidden risk of spinal tumor due to cancer metastasis. The tumor oppression eroded spine is a symbol of advanced stage of cancer that results in pain, sports injury and the crisis of pathological fracture. In case of metastatic spine tumors, treatment should focus on the original cancer, assessment of neurologic functions and prevention of pathologic fractures. The complete treatment team's support to patients and their family may help them facing the diagnosis, treatment and loss. Nurses have an important role in guiding the patients and their families to participate during the course of treatment, to assist and prepare them to face the diagnosis, to provide information on pain management and the prevention of pathological fracture. Organized palliative care and supports will improve the quality of life of patients with metastatic spine tumor.

並列關鍵字

spine tumors ； metastatic tumors ； pathological fracture

參考文獻

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