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一位診斷轉移性大腸癌病人之護理經驗

Nursing Experience of Caring a Patient with Metastatic Colon Cancer

摘要


本文描述照顧一位大腸癌疑似腫瘤轉移且侵犯泌尿道的病人,入院進行膀胱鏡切片及化學治療,但病情超出預期,伴隨著疼痛、血尿及腫瘤惡化,護理期間為2015年9月24日至10月29日,運用生理、心理、社會及靈性四大層面進行評估。確認個案於護理期間的主要健康問題包括:身體活動功能障礙、疼痛、焦慮等。於照護期間提供個案及其家屬個別性的護理措施,建立治療性人際關係,協助個案面對住院及治療所帶來的困擾,同理個案的感受,指導如何因應因疾病造成身體的不便,學習身體活動技巧,正向回饋加強個案活動的意願,依據疼痛控制指引,緩解其症狀,主動提供相關醫療資訊,減輕焦慮,以提升生活品質,最後在家人及醫療團隊的支持下,順利出院面對後續的治療。

關鍵字

大腸癌 護理經驗 疼痛

並列摘要


This article described the nursing care of a metastatic colon cancer patient who was suspected urinary tract involving. This case was hospitalized for cystoscopy and chemotherapy, however the disease changes were not originally expected, accompanied by pain, hematuria, and tumor progressing. During the nursing care period from October, 6 to 29 in 2015, We used comprehensive assessment to evaluate physiological, physical, spiritual, and social status. The main nursing problems during the hospitalization included: impaired physical mobility, pain, and anxiety. During the period, we provided individual nursing care in order to establish therapeutic relationships and gave the assistance to the case to face the distress of hospitalization and the treatment. Empathize with the case, we taught the case how to adapt to the inconvenience of the disease, including learning physical activity skills, giving positive feedback to strong the will of ambulation, relieving pain by pain control guidelines, providing medical information to reduce anxiety, and enhancing the quality of life then finally the family is able to face the cancer treatment in the future.

並列關鍵字

colon cancer nurse experience pain

被引用紀錄


陳思褕、沈桂鳳、謝書華(2021)。協助一位初次診斷大腸癌末期病人面臨之照護經驗高雄護理雜誌38(1),98-109。https://doi.org/10.6692/KJN.202104_38(1).0009

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