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題名 | 運用安寧療護協助乳癌末期病人之臨終護理經驗=The Hospice Caring Experience with a Terminal-stage Breast Cancer Patient |
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作者姓名(中文) | 沈衣靜; 黃郁漪; 葉美杞; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:3 2023.12[民112.12] |
頁次 | 頁144-155 |
分類號 | 419.825 |
關鍵詞 | 安寧療護; 低效性呼吸型態; 預期性哀傷; 抉擇衝突; Hospice care; Inefficient breathing patterns; Anticipatory grief; Decisional conflict; |
語文 | 中文(Chinese) |
DOI引用網址 | 10.6692/KJN.202312_40(3).0013 |
中文摘要 | 本文探討一位乳癌末期合併多處轉移的病人,因疾病復發伴隨疾病進展面臨死亡。於2020年09月14日至10月08日期間,運用安寧療護協助個案之臨終護理經驗,以生理、心理、社會及靈性層面進行整體性評估,發現個案有低效性呼吸型態、預期性哀傷及抉擇衝突等護理問題,面對疾病的無助與失落,運用同理心關懷,建立良好的護病關係,提供適切的護理措施,協助家屬抒發哀傷情緒,引導個案及家屬共同參與決策,增進有效醫病溝通,讓全家人感受到安寧療護團隊們的關懷與支持,增進病人正向的身心靈照護,以達到完善的臨終關懷醫療照護,期望藉由此次照護經驗,作為臨床護理人員照顧此類病人之參考。 |
英文摘要 | This report describes the nursing experience of caring for a patient with breast cancer in terminal stage and faced death because of disease recurrence and progression. During the nursing period from September 14 to October 8, 2020, a holistic assessment was conducted at the physical, psychological, social and spiritual levels, and three health problems were identified: inefficient breathing patterns, anticipatory grief and decisional conflict. Hospice caring was used to assist patient to face the end of life. Those methods included establishing a good nurse-patient relationship, providing appropriate nursing measures, using empathy to help patient face helplessness and loss of the disease, guiding patients and their families to participate in decision-making ,and assisting patient's families to express their grief. Those mothed let the whole family feel the caring and support from the hospice care team, and enhance the positive physical and mental care of patients, so as to achieve hospice medical care. It is hoped that this nursing experience could be a reference for care patients with terminal breast cancer 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。