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題 名 | 一般居家護理轉銜安寧靈性照護於腎細胞癌個案護理經驗=Nursing Experience of Transitioning a Case with Renal Cell Carcinoma from General Home Nursing Care to Palliative Care with Spiritually integrated intervention |
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作 者 | 許郁茹; 鍾若男; | 書刊名 | 嘉基護理 |
卷 期 | 23:2 2023.12[民112.12] |
頁 次 | 頁33-42 |
分類號 | 419.825 |
關鍵詞 | 靈性照護; 惡性腎細胞癌; 疼痛; 身體活動功能障礙; 善終; Spiritual care skills; Malignant renal cell carcinoma; Pain; Physical activity dysfunction; Good death; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述一般居家護理轉銜安寧靈性照護於腎細胞癌個案護理經驗。照護期間2020年10月26日~2020年12月8日,以家訪、電訪及病歷查詢等收集資料,經:生理、心理、社會與靈性層面評估,確立健康問題為疼痛、身體活動功能障礙、焦慮。個案面臨無法自我照顧及自身已疾病末期同時將與家人分離,產生死亡焦慮。生理照護在於減輕疼痛、利用輔具減少身體活動受限,心理靈性方面運用傾聽及照片回顧使情緒緩和、降低焦慮,漸進面對死亡,引導完成四道人生,獲得善終。為提升靈性照護,建議居家護理與安寧病房護理師們合作,並由出院準備服務或門診,客製化提供居家安寧療護諮詢,透過安寧團隊合作及早介入居家安寧照護,以達到全人照顧與生死兩相安之目的。 |
英文摘要 | This case report aims to describe the nursing experience of caring a case of renal cell carcinoma who received the transition from general home nursing care to palliative care with spiritually integrated intervention. The care period was between October 26 and December 8, 2020. With home visits, telephone interviews and medical chart reviews, we performed physical, psychological, social and spiritual assessments, and revealed the health problems of pain, physical activity dysfunction and anxiety. The patient suffered from loss of self-care ability in the late stage of disease and the anxiety of being parted by death. The physical care aimed to alleviate pain and improve physical activity with assistive devices. The psychological approaches, such as listening to the patient and helping the patient review old photos, were used to help release inner emotions, reduce anxiety, gradually face death, complete the four life paths, and achieve a hospitable death. To improve the spiritual care, nursing staff of general home care is suggested to cooperate with those in hospice ward. It is recommended that customized home palliative care consultations should be provided through discharge preparation services or outpatient clinics. The holistic care could be achieved with the cooperation of hospice team and early spiritually integrated intervention at home. |
本系統中英文摘要資訊取自各篇刊載內容。