頁籤選單縮合
題名 | 一位結腸癌轉移病人面臨治療中斷之護理經驗=Nursing Experience of a Patient with Metastatic Colon Cancer Facing Treatment Interruption |
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作者 | 陳薇妤; 周憶珊; 廖素綿; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:3 2023.12[民112.12] |
頁次 | 頁132-143 |
分類號 | 419.8234 |
關鍵詞 | 結腸癌; 營養少於身體需要; 無望感; 疼痛; Colon cancer; Nutrition less than body needs; Hopelessness; Pain; |
語文 | 中文(Chinese) |
DOI | 10.6692/KJN.202312_40(3).0012 |
中文摘要 | 本文描述一位結腸癌病人,因病程進展及化學治療副作用,出現營養不足及疼痛等生理症狀,以致治療療程中斷,讓個案有種被醫療拒絕的心理衝擊,使其身、心受到煎熬而產生無望感之個案護理經驗。筆者於2021年12月11日至2021年12月28日,運用生理、心理、社會及靈性等層面進行整體性評估,透過觀察、實際照顧、傾聽等方式收集資料,評估個案有營養少於身體需要、疼痛及無望感等健康問題。藉由適時評估、藥物調整及運用芳香精油按摩及深呼吸放鬆技巧等輔助方法,有效減緩個案的疼痛;教導居家靜脈營養照護技巧,設計客製化菜單等,逐漸改善其營養不足狀況;透過傾聽、陪伴,鼓勵個案表達內心想法,當個案每日病情進步及學習成效佳時,給予正向回饋,成功的降低其無望感。此次照護經驗,深刻體會提供個案整體性護理評估及個別性的飲食設計之重要性,以協助個案可正向面對後續治療,藉此次照護經驗之分享,提供同儕日後參考。 |
英文摘要 | This article describes nursing care experiences for a patient with colon cancer developed physiological symptoms such as nutritional deficiency and pain due to the progress of the disease and the side effects of chemotherapy, which led to the treatment course interrupted. That made the case feel the psychological impact of being rejected by medical treatment, causing his body and mind to suffer and hopelessness. From December 11, 2021 to December 28, 2021, the author conducts a holistic assessment using physical, psychological, social and spiritual aspects, collects data through observation, practical care, listening, etc., and evaluates that case has health problems such as nutrition below the demand, pain, and hopelessness. Through timely assessment, drug adjustment, and auxiliary methods such as aromatherapy oil massage and deep breathing relaxation techniques, the pain of the case can be effectively relieved; the patient's nutritional deficiency can be gradually improved by teaching home parenteral nutrition care skills and designing customized menus; through listening, Accompanying, encouraging the case to express inner thoughts, giving positive feedback when the case progresses daily and learning results are good, successfully reducing their sense of hopelessness. Through this nursing experience, I deeply understand the importance of providing holistic nursing assessment and individual diet design to help patients face the follow-up treatment positively. Through the sharing of this nursing experience, it can be used as a reference for peers in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。