頁籤選單縮合
| 題 名 | 照顧一位食道癌行食道重建術後病人之護理經驗=Nursing Experience of Caring for a Patient with Esophageal Cancer Who Underwent Esophagus Reconstruction |
|---|---|
| 作 者 | 陳紀均; 趙家伶; | 書刊名 | 高雄護理雜誌 |
| 卷 期 | 40:3 2023.12[民112.12] |
| 頁 次 | 頁120-131 |
| 分類號 | 419.8234 |
| 關鍵詞 | 食道癌; 食道重建手術; 急性疼痛; 潛在危險性感染; 焦慮; Esophageal cancer; Esophageal reconstruction surgery; Acute pain; Potentially dangerous infections; Anxiety; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6692/KJN.202312_40(3).0011 |
| 中文摘要 | 本文為一位食道癌行食道重建術術後病人,因術後造成身體不適外,更因生理構造及飲食改變,擔心影響未來生活而焦慮,引發探討動機。2021年6月05日至2021年6月18日護理期間,藉由觀察、會談及查閱病歷等方式收集資料,運用Gordon十一項健康功能型態進行評估,確立主要健康問題為急性疼痛、潛在危險性感染及焦慮。針對上述,止痛藥物處置外,運用轉移注意力緩解疼痛;每日協助換藥清潔傷口,使其空腸造廔管置入處發紅改善;透過陪伴、傾聽使其接納病況,適時指導與澄清,提供自我照護知識減緩焦慮。建議腫瘤團隊與營養師共同參與治療計畫,給予適度的營養支持與建議,返家後若有營養攝取問題可至營養諮詢門診或是有線上營養諮詢系統進行解答,使病人及家庭順利返回社區與家園。 |
| 英文摘要 | This article is about a patient with esophageal cancer who underwent esophageal reconstruction surgery. In addition to the physical discomfort caused by the operation, he was also anxious because of the changes in his physiological structure and diet, and he was worried that it would affect his future life, which led to the motivation for discussion. During the nursing period from June 05, 2021 to June 18, 2021, data were collected by means of observation, interviews, and medical records, and Gordon's eleven health functional types were used for evaluation to establish that the main health problems were acute pain, potential Dangerous infections and anxiety. In view of the above, in addition to the treatment of painkillers, use diversion to relieve pain; assist in dressing changes to clean the wound every day, and improve the redness of the place where the jejunostomy tube is inserted; Provide self-care knowledge to reduce anxiety. It is recommended that the oncology team and nutritionist participate in the treatment plan together, and provide appropriate nutritional support and advice. If you have any nutritional intake problems after returning home, you can go to the nutrition consultation clinic or online nutrition consultation system to answer them, so that patients and their families can return to the community smoothly. |
本系統中英文摘要資訊取自各篇刊載內容。