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題 名 | 一位行子宮切除手術婦女面臨身心改變之護理經驗=Nursing Care Experience of a Patient's Physical and Psychological Changes Post Hysterectomy |
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作 者 | 林淑妍; 王秀禾; | 書刊名 | 源遠護理 |
卷 期 | 8:1 2014.04[民103.04] |
頁 次 | 頁79-87 |
分類號 | 419.74 |
關鍵詞 | 子宮切除術; 急性疼痛; 焦慮; Hysterectomy; Acute pain; Anxiety; |
語 文 | 中文(Chinese) |
中文摘要 | 本文旨在探討一位44歲婦女罹患子宮肌瘤一年,因經血量過多及肌瘤變大而影響日常生活,又因曾歷經過丈夫外遇,心理衝擊下,經醫師建議行次全子宮切除手術。自2011年06月26日至07月04日為護理期間,運用Gordon十一項功能性健康型態為評估工具,經由觀察、會談及身體評估技巧收集資料,確立個案主要護理問題有急性疼痛、知識缺失及焦慮。筆者藉由護理過程提供整體性、連續性的評估與個別性及適切性的護理措施,適時增加個案之舒適感並減緩疼痛。提供子宮切除的相關護理指導,增進個案正確的認知,減輕個案因手術後性生活調適所產生的焦慮。鼓勵案夫共同參與個案之護理計劃,並深入和個案及案夫探討手術後性生活問題,澄清疑慮並建立其信心,進而接受身體結構功能的改變,維持正向的身體心像。期望藉由此護理經驗,提供臨床護理人員在照護此類病人之參考。 |
英文摘要 | This article describes the 9-day nursing experience of a 44-year-old woman diagnosed one year ago with myoma. The patient experienced hypermenorrhea and enlarged uteral fibroid and subsequently received hysterectomy based on the advice of her physician. The patient's psychosocial status was compounded by her husband's extra-marital affair. The patient assessment used Gordon's 11 functional health patterns. Nursing problems identified through observation, interviewing and physical examination included acute pain, knowledge deficit and anxiety. Nursing process helped to plan a holistic and continuous process to reduce pain, to provide correct information on post-hysterectomy care, and to reduce the anxiety related to postsurgery adjustment in sexuality. The inclusion of the patient's husband in the discussion and nursing care activities helped to reduce tension, rebuild confidence, clarity doubts and reduce potential anxiety toward future sexual activities. The patient was able to accept the change in body image, structure and functions. |
本系統中英文摘要資訊取自各篇刊載內容。