運用薄井坦子全人照護模式照顧一位卵巢腫瘤婦女之護理經驗

Nursing Experiences in Applying Hiroko Usui Holistic Care Model to Looking after a Ovarian Tumor Woman

莊巧薇(Chiau-Wei Juang) ； 蔡碩心(Shuo-Shin Tsai)

《嘉基護理》 15卷2期 (2015/12) Pp. 9-21

摘要

本文旨在描述一位患有卵巢腫瘤之婦女，在面臨疾病及健康狀態改變的衝擊產生身心不適之照護經驗。筆者於2014年8月25日～2014年8月30日照顧期間，運用薄井坦子全人照護模式進行身心靈及社會整體性評估，藉由實際照護、身體評估、觀察及會談等收集資料，確立個案主要健康問題為：急性疼痛／腹部手術傷口，潛在危險性感染／腹部手術傷口及管路留置，和焦慮／腫瘤未確定是良性或惡性。照護過程中以薄井坦子全人照護模式為基礎，了解個案的需求，並接受其想法與感受，鼓勵家庭成員與其一同面對疾病，使其能克服心理恐懼，調適因疾病引起的不安與焦慮，協助維持良好的健康狀態。臨床醫護人員較著重於卵巢癌個案的身心照護，易忽略當個案罹患卵巢腫瘤未確定是良性或惡性的心理層面變化。建議醫護人員於臨床照護上能「以個案為中心」，主動察覺個案的身心變化，依個案的個別性，提供合宜的生心理層面照護，促進疾病治療過程的舒適。

關鍵字

薄井坦子全人照護模式 ； 卵巢腫瘤 ； 急性疼痛 ； 潛在危險性感染 ； 焦慮

並列摘要

The aim of this case study is to describe the nursing experiences in a ovarian cyst who is face of diseases and health status in the change impact with physical and mental discomfort during August 25-30, 2014. We applied Hiroko Usui Holistic Care Model to preceding the integrity evaluation of physiology, psychology, spirit, and society, and collected data through actual care, physical evaluation, observation, and interview. The case was assured the health problems of acute pain / abdominal operation wound, potential risk of infection / abdominal operation wound and placement of invasive tubes, anxiety / uncertainty of tumor's benign or malignant. Hiroko Usui Holistic Care Model is based on care process to understand the demands of the case, and accept their thoughts and feelings, their family members are encouraged face the disease of the case together. It can overcome the psychological fear, anxiety and adjustment disorders caused due to anxiety, help maintain good health. Staffs are emphasis on the physiopsychological care of ovarian cancer cases, easily ignored when suffering from they are uncertainty of tumor's benign or malignant in psychological changes. It is suggested that health care workers can based on the personality, and provide the physiopsychological care of cases to enhance the comfort in the treatment process of disease.

並列關鍵字

holistic care ； ovarian tumor ； acute pain ； potential risk of infection ； anxiety

參考文獻

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