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題 名 | 運用舒適理論於食道癌末期病人及其照顧者護理經驗=Nursing Experience for Patient with Terminal Esophageal Cancer by Comfort Theory |
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作 者 | 許彣萱; 李國箴; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 15:1 2015.06[民104.06] |
頁 次 | 頁59-71 |
分類號 | 419.77 |
關鍵詞 | 舒適理論; 疼痛; 死亡焦慮; 照顧者負荷; Comfort theory; Pain; Death anxiety; Caregiver burden; |
語 文 | 中文(Chinese) |
中文摘要 | 食道癌患者於臨床上多以末期疾病型態來呈現,而緩和性醫療為照顧此類患者常用的策略之一,本文即為描述以舒適理論運用於一位62歲男性末期食道癌病患之護理經驗。照護期間為2013年10月22日至2013年11月7日,透過直接照護、會談、觀察及病歷查閱等方式進行資料收集,確立護理問題包含生理層面之疼痛問題;心理靈性層面的死亡焦慮及社會文化層面之照顧者負荷過重。筆者運用舒適臥位以及疼痛控制,包括藥物及輔助療法如芳香療法、經皮神經電刺激器,緩解個案身體不適;利用傾聽、陪伴、同理、接納方式及藉由宗教師的介入,協助個案用靈性的力量面對死亡;教導照顧技巧以及協助尋找資源,減輕家屬照顧負荷,並提供以個案及家屬為中心之完整性照護,最後在家屬陪伴之下,完成個案後事安排及善終。期望藉此護理經驗,作為舒適理論於末期臨終病人及其主要照顧者照護之參考。 |
英文摘要 | Most of esophageal cancer patients with terminal stage to the performance, palliative care is one of the strategies in these patients. The article is based on the comfort theory caring for a 62-years-old man who was an advance esophageal cancer patient. The authors collected data by caring, conversation, observation, and reviewing medical record, providing holistically care of physical, psychospiritual, environmental, and social culture dimensions of the final hospice of nursing experience during the 2013 October 22 to November 7. The results showed three nursing questions, including pain in physical dimensions; death anxiety in psychospiritual dimension; caregiver burden overloading in social culture dimension. The authors relieved uncomfortable pain of the case by maintaining comfort position and pain control, such as pain drugs treatment, aromatherapy, and transcutaneous electrical nerve stimulation. By means of listening, companionship, empathy, acceptance, and the involved religious worker, to help the case facing death with the power of spiritual. To lighten the load by providing care skills and finding resources for family members, so that it is centered around the case and his families. Finally, the case completed funeral arrangements with family under hospice. The authors expected that this experience can be beneficial for nursing professional by fostering a greater understanding of using comfort theory in terminal cancer patient. |
本系統中英文摘要資訊取自各篇刊載內容。