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題名 | 肝癌病患對疾病及肝動脈栓塞療法的調適策略之探討=Adapting Strategies of Patients with Hepatoma Under TAE Treatment |
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作者 | 史馨如; 蔡秀櫻; | 書刊名 | 榮總護理 |
卷期 | 15:1 1998.03[民87.03] |
頁次 | 頁50-59 |
分類號 | 419.77 |
關鍵詞 | 肝癌; 調適策略; 肝動脈栓塞; Hepatoma; Adapting strategy; TAE; |
語文 | 中文(Chinese) |
中文摘要 | 本研究以立意取樣、個別面談方式於某醫學中心收集35位住院病患之資料,分析並 量化整理,以瞭解肝癌患者面臨疾病及肝動脈栓塞治療時的認知情形、壓力源、及調適策略。 研究結果顯示(一)根據病患對疾病和肝動脈栓塞術的認知瞭解程度有認知不足(31.3%)和認 知良好(68.6%)兩種形態。(二)經歸納和分析發現肝癌病患壓力源有疼痛、病情的惡化、面對 死亡、角色功能改變、社會壓力、和醫生溝通不良及肝動脈栓塞術實施過程等。(三)調適策 略則分以調整情緒為導向如否認、逢迎與逃避、尋找疾病對自己的意義、正向的思考方式、 重新評價生活方式、信仰、分散注意力、認命、想重新獲得主控權等和以解決問題為導向的 如遵從專業人員、尋求相關之資訊及尋求社會支持。研究建議,在照護肝癌病患並接受肝動 脈栓塞治療時應強調傾聽的正向積極態度,於診斷確立後及治療前後不同階段,依其需要, 隨時給予衛教、提供資訊和適當的鼓勵。 |
英文摘要 | The purpose of the study was to understand the cognitive behavior , stressors and coping strategies in patients with hepatoma who are under Transcatheter Hepatic Arterial Embolization (TAE) treatment. Thirty-five cases were assessed by 4 open-ended questions. The results showed that 68.8% of hepatoma patients demonstrate adequate cognitive behavior to face their disease and treatment of TAE. Their stressors are pain, progress of the disease, fear of death, loss of role function, social stress, the process of treatment and communication with their physician. The adapting strategies they used were categorized into two groups: the emotion-focused strategy, such as denial, reappraisal of life, attributions, and problem -solving strategies, such as seeking information, social support and compliance with a professional care giver. Nursing interventions include listening and expressing care, assisting and encouraging the patients to solve their problems, giving relevant Information about their disease and treatment. |
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