一位急性淋巴性白血病青年期患者化學治療之護理經驗

A Nursing Experience of a Young Patient with Acute Lymphatic Leukemia Post-Chemotherapy

葉芝妤(Zhi-Yu Ye) ； 李玉秀(Yuh-Shiow Li)

《領導護理》 10卷3期 (2009/12) Pp. 65-74

https://doi.org/10.29494/LN.200912.0007

摘要

本文探討一位青年期患者接受化學治療後所導致的生理、心理、社會方面之照護。護理期間是2007年9月5日至9月18日，以Gordon十一項健康功能爲評估指引，經由會談、觀察及與個案的互動方式，收集主、客觀資料，其護理問題有：身體心像紊亂、潛在危險性感染、個人因應失調等。在護理過程中，以同理心與個案建立良好的治療性人際關係，透過主動關懷、陪伴、傾聽的技巧，以了解個案的想法與感受。協助個案接受化學治療及身體外觀改變，提供合宜的護理措施。藉此護理經驗之分享，在臨床護理不僅提供生理照護，也應兼顧心理層面，使能達個別性的完整護理。

關鍵字

急性淋巴性白血病 ； 化學治療 ； 身體心像紊亂

並列摘要

This study explored the physical, psychological, and social needs of a young patient with acute lymphatic leukemia post-chemotherapy. The nursing care was provided from September 5 to 18, 2007. With the guideline of Gordon's 11-item functional health pattern assessment, data were collected through interview, observation, and interaction with the patient. The identified nursing problems included disturbance of body image, potential risk of infection, and difficulty in coping with the disease. A trusted therapeutic relationship was built through active concern, accompaniment, and listening, with the intention of understanding the patient's feelings and thoughts. Appropriate nursing care was provided to help the patient accept chemotherapy and cope with the change of body appearance secondary to chemotherapy. By sharing the experience of caring for a patient post-chemotherapy, the author wishes that nurses pay attention not only to patients' physical needs, but also to their psychological and social needs for the purpose of achieving individualized integral nursing care.

並列關鍵字

acute lymphatic leukemia ； chemotherapy ； disturbance of body image