初次診斷為絨毛膜癌合併肺轉移患者之照護經驗

Nursing Experience of a Patient First Diagnosis with Choriocarcinoma and Lung Metastasis

洪雯玲(Wen-Ling Hung)

《腫瘤護理雜誌》 3卷2期 (2004/06) Pp. 71-83

https://doi.org/10.6880/TJON.200406_3(2).06

摘要

絨毛膜癌為繁殖快、易轉移的急性腫瘤，目前以化學治療與手術為最佳治療方式。本文為敘述一位初次診斷為絨毛膜癌合併肺轉移個案，接受化療與手術的雙重壓力下之護理經驗。藉由觀察、會談、身體評估及Gorden十一項護理評估，確立健康問題有：害怕、現存性感染、心靈困擾、照顧者角色緊張等。筆者運用護理的獨特功能，藉由主動關懷、傾聽、陪伴，使個案能了解化學治療過程，降低心中害怕與疑問，正視化療及手術帶來身心上的衛擊。照護過程中，維持個案基本需求及身體舒適，協助個案在身、心、靈及生命價值重新尋找定位點，促進家庭功能的和諧，使個案能以正向經驗感受持續接受化學治療，並期望藉此護理經驗，提供臨床護理人員照顧此類病患之參考。

關鍵字

絨毛膜癌 ； 人類絨毛膜性腺激素 ； 化學治療

並列摘要

Choriocarcinoma is a malignant tumor with rapid progression and early metastasis. Currently, chemotherapy and surgery are the best treatment. In this article, we discuss a case who was primarily diagnosed of choriocarcinoma with lung metastasis. His health problems were assessed through clinical observation, interview, physical assessment, and Gordon nursing evaluation. The health problems were as follows: fear, infection, spiritual distress, and caregiver role strain etc. The author adopted the unique nursing function such as active care, listening and accompany, to make the patient understand the course of chemotherapy. He finally could decrease his fear about disease and to face the impact of chemotherapy and surgery. During the nursing period, our major focus was to maintain his basic needs and physical comfort in order to set a new balance between physical and spiritual life and to redefine value of life. Finally, The improvement of his harmonic family function and the acceptance of continuing chemotherapy with positive experience were developed in the caring process. It is hoped that this caring experience will be helpful to other nursing staff in the clinical practice.

並列關鍵字

Choriocarcinoma ； β-HOG ； chemotherapy