頁籤選單縮合
題 名 | 照護一位肺癌併發骨轉移病人之照護經驗=Nursing Experience of a Lung Cancer Patient with Bone Metastasis |
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作 者 | 李欣娜; 林靖芸; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 17:2 2017.12[民106.12] |
頁 次 | 頁93-105 |
分類號 | 419.77 |
關鍵詞 | 肺癌; 骨轉移; 疼痛; 照顧者角色緊張; 無望感; Lung cancer; Bone metastasis; Pain; Caregiver role anxiety; Hopelessness; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述照護一位肺癌併發骨轉移病人之護理經驗,護理期間為2014年9月15日至10月14日,住院期間筆者採用觀察、會談、身體評估技巧,運用Gordon十一項功能性健康型態評估,發現個案有疼痛、無望感、照顧者角色緊張等健康問題。在照護過程中,經與安寧跨領域團隊合作,提供症狀減緩治療,藉由藥物及非藥物之止痛方式及放鬆技巧減輕疼痛,舒緩不適症狀;建立良好的護病關係,利用傾聽、溝通及同理心技巧,接受其情緒反應,運用生命回顧,使個案重拾對生命價值、意義及家庭成員之間的愛與關懷,改善無望感之負向情緒;會同安寧共照師教導案妻與其家屬學習個別性的照顧技巧,分擔照護責任,減輕案妻照顧壓力與焦慮,進而提升病患之整體性照護。期望藉此個案報告之照顧經驗,做為日後照護此類病患的醫療人員參考。 |
英文摘要 | This article describes the nursing experience of a patient with bone metastasis from lung cancer during the period from September 15 to October 14, 2014. Observations, interviews, and physical examinations were performed during hospitalization and an assessment based on Gordon’s 11 functional health patterns identified the following healthcare problems: pain, sense of hopelessness, and caregiver anxiety. Symptom mitigation was provided during the nursing process in collaboration with a hospice team. Symptom relief was achieved via pharmacological and non-pharmacological pain treatments and the use of relaxation techniques for pain relief. In order to establish an successful relationship with the patient, listening, communication, and empathy skills were used to recognize the patient’s emotional response. Life review therapy helped the patient restore his love and appreciation for life and family members, and reduce the negative emotion of hopelessness. The overall patient care was further improved through providing the patient's wife and family members with instructions from a hospice caregiver regarding nursing techniques, shared care responsibilities, and reduction of stress and anxiety for the patient’s wife. It is hoped that the nursing experience described in this case report can serve as a reference for medical personnel handling similar cases. |
本系統中英文摘要資訊取自各篇刊載內容。