協助一位子宮頸癌患者於術後重建母親及妻子角色之護理經驗

The Nursing Care Experience of Assisting a Woman who had Cervical Cancer Treated with Surgery to Rebuild "the Role of Mother and Wife"

王婉珊(Wan-Shan Wang) ； 王姮樺(Heng-Hua Wang) ； 陳繪竹(Hui-Zhu Chen)

《高雄護理雜誌》 30卷3期 (2013/12) Pp. 66-74

https://doi.org/10.6692/KJN-2013-30-3-8

摘要

本文為協助一位產後四個月正在哺乳的39歲婦女，因罹患子宮頸癌需行根除性子宮全切除手術，面臨哺乳中斷及性生活形態改變等之護理經驗。自2010年10月7日至10月22日護理期間，以Gordon十一項功能性健康評估為指引，經會談、觀察及電話訪問收集資料，發現個案依時間排序之健康問題為焦慮、母乳哺餵中斷及性生活形態改變。筆者為個案的專科護理師，照護期間與個案及案夫建立良好護病關係，除解決個案生理需求外，並協尋母乳捐贈者於個案無法擠乳期間供應母乳，滿足個案在手術期間能持續哺餵母乳之需求；在回診會談與持續性電話訪談，適時提供心理支持及性生活因應技巧，讓個案逐步適應子宮切除後之性生活，重拾身為女人之自信，分享此照護經驗，期為照護此類個案之參考。

關鍵字

子宮頸癌 ； 根除性子宮全切除手術 ； 哺餵母乳

並列摘要

This paper depicts the nursing care experience of assisting a 39-year-old four-month postpartum and breastfeeding woman, who faced radical hysterectomy and overcoming the consequences of breastfeeding interruption and the changes of sexual life. Gordon's 11 Functional Health Patterns were used as a guide to assess health problems of the client through in-person interviews, observations, and telephone interviews during the two-week period from October 7th to 22nd, 2010. Three health problems were identified chronologically: anxiety, interruption of breastfeeding, and changes of sexual life. The first author, the nurse practitioner of the client, had built up a good relationship with the client and her husband during the nursing care period. In addition to fulfilling the client's physical needs, the nurse practitioner initiated breast-milk donations for the client to continue breast-milk feeding during the entire surgical period and hospitalization. Further, to assist the client to adapt to an active sexual life after radical hysterectomy and rebuild her confidence of being a woman, the nurse practitioner provided mental support and educated the patient in skills to cope with the change in her sexual life during the outpatient department follow-up and telephone interviews. This nursing care experience could be a reference for nurses in providing care to similar cases.

並列關鍵字

cervical cancer ； radical hysterectomy ； breastfeeding