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Nursing Experience of a Patient Experiencing Powerlessness with Terminal Ovarian Cancer




卵巢癌 末期 無力感 血液透析

Parallel abstracts

This article describes the nursing experience of a 58-year-old long-term blood dialysis patient with end-stage ovarian cancer. Data were collected during the nursing period from October 20, 2022 to November 16, 2022 through discussions, physical assessments, observations, review of medical records, and direct care. The data were analyzed and integrated using Gordon's Functional Health Patterns to conduct an overall assessment and identify health problems, including excess fluid volume, powerlessness, readiness for enhanced self-care. During the nursing period, the author established a trusting nurse-patient relationship with the patient and provided individualized care. The patient was taught acupressure massage to reduce fatigue and abdominal discomfort that led to loss of appetite. The author worked with a nutritionist to understand the patient's dietary preferences and develop a nutrition plan to maintain basic metabolic needs and a blood dialysis diet. The author provided active care, companionship, and listened to the patient's psychological problems, encouraging the patient to express their inner thoughts, clarify their powerlessness and anxiety about the disease, and empathy with their first chemotherapy and other anxiety. The author also referred the patient to patient support groups and provided information to provide emotional outlets to reduce anxiety and depression. Cross-team care services were used to solve the patient's social and economic problems, and the patient's children were informed of the patient's condition changes, worries, and helplessness, rebuilding their family's operational capabilities, and providing professional services such as home care to improve family dysfunction problems.


王宥勻、楊美英、曾芃廩(2022)。一位罹患肺腺癌的末期腎病變病人首次接受血液透析之護理經驗。臺灣腎臟護理學會雜誌,20(2),44-58。http: //doi:10.3966/172674042022062002004
邢伶娟、許嘉芳、洪意華(2022)。一位肺纖維化反覆住院病患面對無力感之照護經驗。高雄護理雜誌,39(3),196-208。http: //dx.doi.org/10.6692/KJN.202212_39(3).0015
林麗英、黃雅惠、洪正隆、陳雅玫、郭靜如、顧艷秋(2017)。某醫學中心住院病人第六生命徵象現況、變化與健康問題之探討。護理雜誌,64(2),55–65。http: //dx.doi.org/10.6224/JN.000024
張家瑜(2019)。一位格林-巴利症候群患者併無望感病人之加護照護經驗。領導護理,20(4),55-67。http: //dx.doi.org/10.29494/LN.201912_20(4).0005
鍾惠琴、鍾玉珠(2021)。協助一位初次血液透析患者建立長期透析生活之護理經驗。彰化護理,28(1),96-107。http: //dx.doi.org/10.6647/CN.202103_28(1).0010