頁籤選單縮合
題名 | 一位結腸癌末期病人接受永久性腸造口之護理經驗=Nursing Experience of a Patient with Terminal Colon Cancer Who Received a Permanent Colostomy |
---|---|
作者 | 陳佩微; 呂麗戎; 顏貴英; 李碧月; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:2 2023.08[民112.08] |
頁次 | 頁165-176 |
分類號 | 419.825 |
關鍵詞 | 結腸癌; 腸造口; 末期照護; 身體心像紊亂; 安寧療護; Colon cancer; Colostomy; Terminal care; Disturbance of body image; Palliative care; |
語文 | 中文(Chinese) |
DOI | 10.6692/KJN.202308_40(2).0014 |
中文摘要 | 本文探討一位60歲結腸癌末期婦女接受永久性腸造口護理經驗。護理期間2019年9月28日至10月21日,運用整體性評估、觀察、會談及病歷查閱等方式收集資料,確立病人健康問題有:疼痛、身體心像紊亂及無望感。照護期間提供藥物及非藥物止痛方式,使個案疼痛獲得良好的控制。提供新型造口袋及增強腸造口自我照護技巧,並透過生命回顧、病友活動、宗教與安寧療護的介入,同時提供良好的社會支持,使個案能接受身體心像改變後的自己,渡過無望感危機並正向面對治療。藉此經驗分享,當照護癌症末期病人時,需提供身心靈全人的照顧,可結合宗教信仰及回顧其生命故事,促進病人對癌症末期的衝擊調適。 |
英文摘要 | This article described the nursing experience of a woman with colon cancer who received a permanent colostomy. The author collected all the data through holistic assessment, observation, continued conversation and medical records from September 28, 2019 to October 21, 2019. The patient's nursing problems such as pain, disturbance of body image, and hopelessness were detected. The nursing process provided medical and non-medical methods, assisted in well-controlling the patient's pain, providing new ostomy bags, enhancing self-care ability for colostomy, and through life review and activities of a patient group, religious and palliative care as well as good social support, the patient could accept her physical appearance, decrease the level of hopelessness and adapt to the illness prognosis positively. The authors hope to share this experience of patients in the terminal stage of cancer. It is necessary to provide whole-person care combined with religious beliefs and review of their life stories to facilitate patients' adjustment to terminal cancer shock. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。