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題名 | 照顧一位接受永久性結腸造口病人的護理經驗=Nursing Experience for a Patient with Rectal Stromal Tumors Following Permanent Colostomy |
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作者 | 盧怜君; 鄭春秋; | 書刊名 | 腫瘤護理雜誌 |
卷期 | 7:2 2007.12[民96.12] |
頁次 | 頁61-72 |
分類號 | 419.77 |
關鍵詞 | 結腸造口; 自我照顧缺失; 身體心像紊亂; Permanent colostomy; Self-care deficit; Body image disturbance; |
語文 | 中文(Chinese) |
中文摘要 | 本文主要目的在分享一位直腸間葉腫瘤(stromal tumors)病人,接受腹部會陰切除手術(abdomino-perineal resection)及永久性結腸造口術,所引發身體、心理問題與面對社會衝擊的護理經驗,並提供給臨床護理人員參考。護理期間為2006年10月12日至2006年10月20日。筆者運用Gordon 11項健康功能評估,經由實際觀察、會談、身體評估及直接照顧等方式,界定病人出現的護理問題,包括:1.傷口疼痛;2.自我照顧缺失;及3.身體心像紊亂等。筆者經由擔任支持者、諮詢者與教導者等角色,先以整體評估找出影響因素後,擬定護理計畫,並提供術後疼痛護理,再利用光碟及衛教單張等輔助工具做為照顧依據,幫助病人接受自己外觀改變,並尋求居家照顧資源,協助病人解決後續照顧問題,使病人能適應疾病引發的問題,進而提高生活品質。 |
英文摘要 | This article described the nursing experiences of a patient with rectal stromal tumors following abdomino-perineal resection permanent colostomy who faced with the physical, psychological problems as well as social impact. Inpatient nursing care were offered from October 12 to October 20 in 2006. During the period of nursing care, data were collected by clinical observations, interview, physical assessment and direct care of the patient and family. Based on Gordon's functional health assessment, the major nursing problems were identified as acute pain after surgery, self-care deficit for permanent colostomy and disturbed body image associated with permanent colostomy. The authors played key roles as a consultant, an advocate and instructor to coordinate care-related resources and design nursing care plans. After implementation of nursing process, the patient accepted his body image, achieved a balance between psychological problems and social impact, and improved quality of life. The purpose of this case report is to share nursing experiences with nurses in caring patients with the same disease. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。