照顧一位非何杰金氏淋巴瘤患者接受化學治療期間之護理經驗

本篇報告係探討一位非何杰金氏淋巴瘤癌末患者於接受化學治療期間引發生理不適、心理焦慮及照顧者角色緊張等問題之護理經驗，筆者於護理期間，透過直接照顧、觀察、會談等方法收集資料，依生理、心理、社會、發展、靈性等層面評估，歸納個案呈現主要護理問題為1.口腔黏膜改變，2.營養狀況改變，3.恐懼，4.照顧者角色緊張等護理問題，在此期間，藉由真誠、關懷、同理心、肯定態度與醫療訊息的提供，與個案及家屬建立良好的治療性人際關係，以協助解決身心症狀之困擾，並在接受化學治療時能有正向的態度，以調適疾病過程的變化與提升生活品質。

關鍵字

非何杰金氏淋巴瘤；化學治療；照顧者

並列摘要

The purpose of this report is to present the nursing experience of a patient with non-hodgkin's lymphoma in terminal stage who had physical distress, psychological anxiety, and caregiver role strain in chemotherapy period. During the period of care, the author assessed the patient's condition through physical, psychological, social, development, and spiritual divisions. Data was collected by direct care, observation, and interview. The main problems of case report are: 1. altered oral mucose membrane. 2. altered nutrition. 3. fear. 4. caregiver role strain. In this period we established a therapeutic relationship with patient and family by sincere, caring, empathy, firm attitude, and provide medical treatment information to help to solve symptom distresses and improve positive attitude toward during the chemotherapy. The patient was also better able to adapt to his illness and to improve quality of life.