一位肝癌患者行肝切除術之護理經驗

Nursing Experience of Caring for a Patient with Hepatocellular Carcinoma Undergoing Hepatectomy

徐薏姍(Yi-Shan Shu) ； 李淑真(Shu-Chen Lee) ； 陳淑月(Shu-Yueh Chen)

《弘光學報》 76期 (2015/09) Pp. 1-13

https://doi.org/10.6615/HAR.201509.76.01

摘要

本文描述一位53歲男性肝癌病人接受肝切除術之護理經驗。護理期間自2013年10月5日至16日，筆者運用Gondon 十一項健康功能評估，經由會談、觀察及身體評估等方式獲得主客觀資料，確立個案的護理問題有營養不均衡、焦慮、急性疼痛、和潛在危險性感染等。筆者扮演支持、照護、教導、和代言的角色，與個案建立夥伴關係，透過營養師及跨領域團隊(包括醫師、藥師、麻醉師、護理師、腫瘤個管師)的協助，滿足個案住院期間的護理需求，協助個案克服焦慮情緒安心接受手術，從而認識肝癌自我照護的重要，出院返家調整生活型態並定期追蹤。

關鍵字

焦慮 ； 肝切除 ； 肝癌 ； 護病夥伴關係

並列摘要

This article described the nursing experience of caring for a 53-year old man with hepatocellular carcinoma treated with partial hepatectomy. The nursing period was from October, 5 to 16, 2013. The authors used Gordon´s eleven health functional patterns to evaluate and collect information. By the way of interview, observation, and physical assessment, the data collected indicated that the patient had nursing problems including unbalanced nutrition, anxiety, acute pain, and potentially hazardous infection. The authors maintained a good nurse-patient partnership with the patient by providing supporting, taking care, coaching, and advocating, especially calling for help from nutritionists and multidisciplinary team, including physicians, pharmacists, anesthetists, registered nurses, and case managers. Eventually, the patient´s anxiety ameliorated and underwent the hepatectomy smoothly, and learnt how to self-care after having hepatocellular carcinoma, despite removed, by the way of living a good life style and adhering to followingup.

並列關鍵字

anxiety ； hepatectomy ； hepatocellular carcinoma ； nurse-patient partnership

參考文獻

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