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| 題 名 | 運用Swanson關懷理論於一位乳癌病人接受門診化療之護理經驗=Nursing Experience of Applying Swanson Care Theory to a Breast Cancer Patient Undergoing Outpatient Chemotherapy |
|---|---|
| 作 者 | 顏婉怡; 黃秋玲; 黃蘭迪; 吳曄薰; | 書刊名 | 志為護理 |
| 卷 期 | 23:2 2024.04[民113.04] |
| 頁 次 | 頁111-120 |
| 分類號 | 419.8234 |
| 關鍵詞 | Swanson關懷理論; 乳癌; 門診化療; Breast cancer patient; Outpatient chemotherapy; Swanson's theory; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文描述一位乳癌術後個案,於門診化療期間因化療藥物誘發口腔黏膜炎與掉髮導致焦慮不安,故引發照護探討動機。於2021年2月1日至4月30日照護期間,藉直接照護、觀察、會談、病歷查閱及社群軟體互動收集資料,以生理、心理、社會、靈性等層面為架構結合人形圖繪圖評估分析,確立健康問題有焦慮、口腔黏膜炎與身體心像紊亂。運用Swanson關懷理論建立良好護病關係,主動關懷陪伴,鼓勵共同參與照護計畫,教導紓壓、口腔照護與因應掉髮致外觀改變方法,引介案例分享經驗,強化正向態度與自信,順利完成化療。期冀推廣人形圖至院內跨團隊討論會,快速掌握病人問題,增進照護共識,並推展照護成果至以家庭為中心之照護模式中,以提昇照護品質與成效。 |
| 英文摘要 | This article describes a case of breast cancer post-surgery. During the outpatient chemotherapy, oral mucositis and hair loss caused by chemotherapy drugs led to anxiety, which led to the motivation of nursing care. During the nursing period from February 1st to April 30th, 2021, data were collected through direct nursing, observation, interview, medical record review and social software interaction. The evaluation was based on physical, psychological, social, spiritual levels and combined with human figure drawing evaluation. Analysis established health problems as anxiety, oral mucositis and physical and mental image disorders. The intervention included: using Swanson's caring theory to establish a good relationship between nurses and patients; taking the initiative to care and accompany patients; encourage joint participation in care plans; teach stress relief, oral care and methods to cope with hair loss and appearance changes; introduce cases to share experiences; strengthen positive attitudes and self-confidence, and successfully complete chemotherapy. It is hoped that the human figure drawing evaluation approach will be promoted to the cross-team discussion in the hospital, so as to quickly grasp the patient's problems, enhance the nursing consensus, and promote the nursing results into the family-centered nursing model, so as to improve the quality and effectiveness of nursing. |
本系統中英文摘要資訊取自各篇刊載內容。