- 期刊
照顧一位惡性脈絡膜黑色素瘤合併多處轉移病患之護理經驗
Nursing Experience of a Choroid Melanoma Patient with Multiple Metastasis
摘要
本篇個案報告爲照顧一位惡性脈絡膜黑色素瘤合併多處轉移病患之護理經驗，護理期間自93年1月14至93年1月22日，探討個案因被診斷爲惡性脈絡膜黑色素合併全身多處轉移而産生無望感以及癌症本身、治療引起之身體不適，經由觀察、會談與個案及家屬互動來收集資料，並以Gordon十一項健康功能型態評估分析歸納個案有三個主要的護理問題，包括無望感、活動無耐力、體溫遇高。護理的重點在於協助個案重新調整生活目標及維持身心舒適，針對此提供適切及完善的護理措施，使個案身心不適之症狀能獲得改善，協助其渡過整一個疾病過程，並藉此個案報告的護理經驗提出與護理人員分享，以助提升照護此類病患的品質。
並列摘要
This case report described a nursing experience of a patient with choroid melanoma combining multiple metastasis, which induced hopelessness and body discomfort caused by cancer itself or treatment. During the caring period from January 14 to January 22, 2004, the observation, interview, interaction, and the Gordon 11-item Functional Health Pattern were used 10 assess the patients health problems. The findings included hopelessness, activity intolerance, and hyperthermia. The key point of nursing care was to help patient to adjust the goal of life and maintain physical and psychological comfort. Individualized and comprehensive nursing interventions were provided to improve his physical and psychological symptoms, and help him to adjust the process of disease. This report can serve as a reference for planning the nursing care for similar patients in the future.
延伸閱讀
- 陳怡文、蘇秋萍、周莉莉（2011）。照顧一位肝細胞癌合併骨轉移病患之護理經驗。志為護理-慈濟護理雜誌，10(1)，110-119。https://doi.org/10.6974/TCNJ.201102.0110
- 李慧玲、吳春桂（2022）。照護一位脊髓星形細胞瘤併發急性呼吸衰竭病人預立醫療決策之護理經驗。志為護理-慈濟護理雜誌，21(2)，111-120。https://www.airitilibrary.com/Article/Detail?DocID=16831624-202204-202204270008-202204270008-111-120
- 許淑娟、丁玉芝（2007）。照護一位主動脈瘤手術後病人之加護護理經驗。榮總護理，24(2)，122-130。https://doi.org/10.6142/VGHN.24.2.122
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- 莊莉瀅、劉曉君（2017）。Nursing Experience of a Terminal Patient with Lung Cancer and Brain Metastases。腫瘤護理雜誌，17(1)，75-86。https://doi.org/10.3966/168395442017061701007