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| 題 名 | 照顧一位泰國臺商因大腸癌併肝轉移術後之護理經驗=Nursing Experience Afte Caring for a Taiwanese Businessman in Thailand due to Colorectal Cancer and Liver Metastases |
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| 作 者 | 曾惠津; 趙家伶; | 書刊名 | 安泰醫護雜誌 |
| 卷 期 | 30:2 2024.12[民113.12] |
| 頁 次 | 頁59-71 |
| 分類號 | 419.8234 |
| 關鍵詞 | 大腸癌併肝轉移; 泰國臺商; 急性疼痛; 潛在危險性感染; 焦慮; Colorectal cancer with liver metastasis; Taiwanese businessman from Thailand; Acute pain; Potentially dangerous infection; Anxiety; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文探討一位泰國台商因大腸癌併肝轉移術後病人之護理經驗。照護期間自2021/04/01到2021/04/08,藉由病歷查閱、觀察、會談及身體評估等方式收集資料,運用Gordon十一項功能性健康模式進行護理評估,確立主要健康問題有有急性疼痛、潛在危險性感染、焦慮等三項健康問題。給予止痛藥物及非藥物止痛方式來緩解疼痛。依醫囑給予常規抗生素、監測生命徵象、密切觀察傷口及引流管變化,改善傷口發炎症狀。運用個別性衛教手冊、提供國外適用之診療紀錄書面等醫療資訊連接國外醫療,藉由放鬆技巧減輕焦慮。本文個案重要親友皆在國外,故建議例行性進行遠距家庭會議之服務,護理人員可透過持續性觀察與溝通進行更有效的評估與協助,並建議各院設立國際醫療服務團隊,進行國際化雲端連結與交班銜接後續治療,幫助類似個案得到持續性且完善的醫療照護品質。 |
| 英文摘要 | This article discusses the nursing experience of a Thai-Taiwan businessman who underwent surgery for colorectal cancer with liver metastases. During the nursing period from 2021/04/01 to 2021/04/08, data were collected through medical record review, observation, interviews, and physical assessment, and the eleven functional health models of Gordon were used to conduct nursing assessments to determine the main health problems. Acute pain, potentially dangerous infection, and anxiety are three health problems. Administer pain medication and nondrug analgesics to relieve pain. Routine antibiotics were given according to the doctor's advice, vital signs were monitored, and changes in the wound and drainage tube were closely observed to improve the symptoms of wound inflammation. Using individualized health education manuals, providing medical information such as medical records applicable to foreign countries to connect with foreign medical care, and reducing anxiety through relaxation techniques. The important relatives and friends of this case are all abroad, so it is recommended to provide routine remote family conference services. Nursing staff can conduct more effective assessment and assistance through continuous observation and communication. It is also recommended that each hospital set up an international medical service team to carry out The international cloud connection and handover link follow-up treatment to help similar cases obtain continuous and perfect medical care quality. |
本系統中英文摘要資訊取自各篇刊載內容。