頁籤選單縮合
題 名 | 照護一位口腔癌末期患者引發無望感之護理經驗=Nursing Experiences of Caring for Hopelessness of a Terminal-Stage Patient with Oral Cancer |
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作 者 | 張昭慧; 葉秀雯; 周繡玲; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 13:2 2013.12[民102.12] |
頁 次 | 頁91-102 |
分類號 | 419.77 |
關鍵詞 | 口腔癌; 疼痛; 皮膚完整性受損; 無望感; 末期; Oral cancer; Pain; Impaired skin integrity; Hopelessness; Terminal stage; |
語 文 | 中文(Chinese) |
中文摘要 | 本文探討一位口腔末期患者,當醫師告知疾病復發後,患者因這一年多來努力治療,但結果確不如預期而感到挫折甚至出現哭泣、被動、對周遭的關心採冷漠應對等無望感徵象。透過與個案及主要照顧者會談、觀察並運用Gordon十一項健康功能型態進行評估,確立個案有疼痛、皮膚完整性受損、無望感等護理問題。依照個案之人格特質、身體限制、家庭及經濟狀況,提供適切的護理計畫。在疼痛上利用疼痛指數監測,按需求給予藥物及非藥物的護理措施。對於皮膚完整性受損以先減少刺激源並給予傷口護理。疾病惡化造成的無望感則在身體症狀獲得控制後協助個案與家人一同回顧過往,讓個案對自己過去一生的經歷有正面的看法後,有勇氣去計畫及走完人生最後一程。期望藉由此篇報告之護理經驗提供護理人員照護此類病人之參考。 |
英文摘要 | This article described the nursing experiences of caring for a terminal-stage patient with oral cancer, when the doctor informed the patient of disease recurrence. The patient felt frustrated and passive, and cried because his condition was not as good as expected after more than one-year treatment. He was indifferent, and felt hopeless for his future life. Data was collected through interviews with the patient and his family, observations, and health assessments using Gordon 11 health function patterns. The patient's health problems were identified as pain, impaired skin integrity, and hopelessness. We provided the appropriate nursing care plans to the patient according to his personality characteristics, limitation of his physical functions, family and economic condition. Furthermore, we relieved this patient's pain problem through providing the pharmacological and nonpharmacological interventions. To improve the skin integrity, we reduced the sources of the stimuli, and followed the standard wound care procedures. We also encouraged the patient to express his feelings about his disease, did life review with his family, and then assisted him to have positive views about his life through clearly explaining the prognosis, and discussing the objectives of nursing care. This article is expected to be a reference to the nursing care of terminal-stage cancer patients. |
本系統中英文摘要資訊取自各篇刊載內容。