一位青少年期骨肉瘤患者接受放射線治療期間之護理經驗

本文主旨在探討一位骨肉瘤青少年病患接受放射線治療期間之護理經驗。在照護過程中，筆者運用羅氏適應模式進行收集生理、心理、社會之適應行爲相關資料，發現個案有腹瀉、疼痛、營養狀況改變少於身體所需、潛在危險性感染、潛在危險性體液溶液缺失、潛在危險性皮膚完整性受損、身體心像紊亂等護理問題。針對青少年著重同儕關係之建立，於個案接受放射線治療期間與個案建立個別性之護病關係，除了提供生理層面的滿足外，並教導預防感染、體液容積缺失、維持皮膚完整性之自我照護，協助運用資源重建自我身體心像之護理過程，期以此經驗能提供給日後照護類似個案之護理人員經驗分享。

關鍵字

青少年期；骨肉瘤；放射線治療

並列摘要

This paper is aimed at discussing the nursing experiences of a teenager during the radiotherapy for osteogenic sarcoma. Throughout the period of nursing practice, the author used Roy's adaptation model to collect the data regarding the patient's physical, psychological and social responding behavior. Our data showed that, the patient presented some symptoms and potential dangers such as diarrhea, pain, imbalanced mutrition: less than body requirements, risk for infection, risk for deficient fluid volume, risk for impaired skin integrity, and disturbed body image, all of which may cause nursing problems. In light of the importance of peer relationship among teenagers, the personal relationship was established between nurses and the patient. The patient was not only provided with physical content but also taught self-caring skills which included the prevention of infection, prevention of the deficient fluid volume, the maintenance of the integrity of skin. In addition, the patient was assisted in his using of resources to restore the mental and physical self-imaging. The purpose of this paper is to share the experiences with nursing personnel who might encounter similar cases in the future.

並列關鍵字

teenager ； osteogenic sarcoma ； radiotherapy

延伸閱讀

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王佳琪、王資惠、穆佩芬（2019）。照顧一位骨肉瘤青少年接受術後輔助化療的護理經驗。台大護理雜誌，15(1)，53-63。https://doi.org/10.6740/NTUHJN.201901_15(1).0006
鍾雅喻、鄭碧芬、潘慧娟（2022）。一位青少年罹患骨軟骨瘤術後併腔室症候群之照護經驗。新臺北護理期刊，24(1)，147-156。https://doi.org/10.6540/NTJN.202203_24(1).0013
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國際替代計量

一位青少年期骨肉瘤患者接受放射線治療期間之護理經驗

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