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題 名 | 一位反覆自殺行為之大腦惡性淋巴瘤患者的護理經驗=Nursing Experience of a Malignant Brain Lymphoma with Repeated Suicide Behavior |
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作 者 | 吳玉娟; 劉麗芳; 林忠男; | 書刊名 | 光田醫學雜誌 |
卷 期 | 2:4 2007.09[民96.09] |
頁 次 | 頁103-109 |
分類號 | 419.77 |
關鍵詞 | 大腦惡性淋巴瘤; 自殺傾向; 無望感; 情境性低自尊; Malignant brain lymphoma; Suicide tendency; Hopeless; Low self-esteem; |
語 文 | 中文(Chinese) |
中文摘要 | 本文探討一位罹患大腦原發性惡性淋巴瘤的64歲女性,經過多次住院接受腦立體定位切片檢查、放射及化學治療以及在住院過程中引起身體心像改變、疾病本身之不確定感、恐懼感及疾病本身導致人格改變與沮喪的特性,造成個案的社會角色功能改變,而出現反覆自殺的行為,三番兩次以自殺方式企圖解脫所承受之壓力。作者藉由Gorden十一項健康型態評估,歸納出患者有(1)潛在危險性自殺、(2)無望感、(3)情境性低自尊等三個主要的護理問題。進而以Cardell, Horton-Deutsch理論為基礎,針對防範病患自殺提出(1)預防在院自殺,(2)協助改變其認知想法並找出正向的因應措施,(3)加強提昇家屬的照顧能力,以及(4)提供相關的經濟補助資訊並進一步轉介至專業進行心理諮商輔導等護理措施的介入,成功地阻止了其反覆自殺的行為,個案持續追縱已達四年,未再出現自殺行為,特此提出經驗報告,期盼能為照護此類病患之護理人員參考。 |
英文摘要 | This report investigated the treatment course of a 64-year-old female patient who had malignant brain lymphoma and received brain biopsy follow by radiation and chemotherapy. The patient developed frustration and repeated suicide behavior due to long term therapeutic courses: body image alteration, fears of uncertainly, personality change as well as depression caused by diseased entity. Suicide tendency, hopeless and low self-esteem were three main nursing problems for “Gorden” Health Pattern Assessment. Through researches, the authors provided a 4 –point appropriate nursing regimen, which included: (1) preventing negative impulse such as suicide, depression and frustration, (2) increasing learning motivation about disease entity and its positive coping, (3) promoting family’s caring ability and (4) providing information about financial support and professional advise. The case recovered without suicide attempt ever since. |
本系統中英文摘要資訊取自各篇刊載內容。