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照護一位年輕末期膽管癌個案之護理經驗

A Nursing Experience of Caring for a Young Woman with Cholangioma

摘要


本文描述一位21歲年輕女性,罹患膽管癌接受治療後復發的護理經驗。於2018年8月20日到9月10日,藉由直接護理、會談、觀察及身體評估等方式收集資料,運用Gordon十一項健康型態評估,確認個案有疼痛、噁心嘔吐及預期性哀傷等健康問題。提供個別性的護理措施,正確的使用藥物,並配合非藥物之輔助療法成功緩解疼痛;與個案討論飲食偏好,協助選擇其喜歡的食物,並藉由深呼吸、穴位按摩,並提供穴位位置提示小卡,協助其有效降低噁心嘔吐的頻率;以主動關懷、鼓勵個案列出願望清單,案母家人及朋友協助完成其心願。藉此照護經驗分享,提供臨床護理人員在面對癌症病人給予個別性的護理措施,以提升生活品質。

關鍵字

膽管癌 輔助化學治療 疼痛

並列摘要


This article describes the nursing experience of caring for a 21-year-old women with cholangioma. The duration of the nursing care was from Aug. 20 to Sept. 10 of 2018. Data were collected through direct nursing care, conversations, observation and physical evaluation; the assessment was reached by using the Gordon 11 functional health pattern for reference. The health problems identified included pain, nausea, vomiting, and anticipatory grief, which all prompted the author to investigate the issue of pain relief. Besides the analgesics, some adjuvant therapies, such as the therapeutic massage and music therapy, can decrease the intensity of pain. We also offered individualized nursing care, dietary education, breathing technique, acupoint massage, and oral hygiene care to attenuate the frequency of vomiting. To help the patient cope with the distressing mood, we evaluated the patient's physical status to see how likely she was able to fulfill her wishes, and then we helped her mother and friends to realize her wishes the best we could. We hope our presence and care had provided her with support and brought her hope and consolation. We hope the combination of nursing care, psychiatric care and disease control had helped alleviate the pain and suffering so the patient could live with dignity at the end of her life.

並列關鍵字

cholangioma chemotherapy pain

參考文獻


吳尚倫、謝政智(2017).癌症相關疼痛之藥物治療新觀念.臺灣臨床藥學雜誌,25(2),100-108。[Wu, S. L., & Hsieh, C. C. (2017). New concept of medical treatment in cancer related pain management. Formosa Journal of Clinical Pharmacy, 25(2), 100-108.] https://doi.org/10.6168/FJCP.2017.2502.02
李知育、陳天華、陳明晃(2021).膽管癌治療新進展.臨床醫學月刊,88(2),533-537。[Li, Z. Y., Chen, T. H., & Chen, M. H. (2021). New progress in the treatment of cholangiocarcinoma. Clinical Medicine, 88(2), 533-537.] https://doi.org/10.6666/ClinMed.202108_88(2).0088
杜小昕、黃家榆(2021).Olanzapine於控制晚期癌症病人非因放化療引起之噁心與嘔吐成效-系統性文獻回顧.安寧療護雜誌,25(2),143-160。[Tou, S. I., & Huang, C. Y. (2021). Effect of olanzapine to control nausea and vomiting in advanced cancer patients without concurrent chemotherapy or radiation therapy: A systematic review. Taiwan Journal of Hospice Palliative Care, 25(2), 143-160.] https://doi.org/10.6537/TJHPC.202103_25(2).04
林沛宸、陳芝文(2019).一位年輕女性初次罹患肝癌末期之護理經驗.領導護理,20(4),94-106。[Lin, P. C., & Chen, C. W. (2019). Nursing experience from caring a young woman with her first encountered terminal stages of hepatocellular carcinoma. Leadership Nursing, 20(4), 94-106.] https://doi.org/10.29494/LN.201912_20(4).0008
胡文郁、陳宛榆、羅淑芬、陳書毓、黃翰心、陳幼貴(2011).成人癌症疼痛臨床照護指引.腫瘤護理雜誌 ,11,87-127。[Hu, W. Y., Chen, W. Y., Lo, S. F., Chen, S. Y., Huang, H. S., & Chen, Y. K. (2011). Clinical practice guideline on pain control in adult cancer patients. The Journal of Oncology Nursing, 11, 87-127.] https://doi.org/10.6880/TJON.201112/SP_11.06

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