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題名:一位子宮頸癌病患之護理經驗
書刊名:長庚護理
作者:鄭惠鑫
作者(外文):Cheng, Hui-hsin
出版日期:2001
卷期:12:3=35
頁次:頁246-251
主題關鍵詞:子宮頸癌放射治療性行為型態Nursing experienceCervical carcinoma
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:12
  • 點閱點閱:12
     本文乃是協助一位36歲罹患子宮頸癌婦女在經歷了休克、否認、憤怒、磋商、憂鬱、接受等過程之護理經驗。於住院期間利用參與式觀察方法,收集個案語言、非語言行為及以Gordon十一項功能性健康型態評估為依據,確立其護理問題優先順序為焦慮、高危險性感染、性行為型態改變。透過良好的治療性關係建立,提供個案疾病本身、放射治療護理等資料,筆者更加強本身在癌症患者的心理及性問題層面上知識,並實際運用,提供個案整體性照護,幫助其減少否認、憤怒之負面情緒,進而努力學習吸收知識,完成治療,並能主動提出疑問尋求解答之護理過程,僅將此護理經驗以護理過程方式呈現,期能將此經驗分享,並提供護理人員應用參考,而能以最完整且適切之護理計劃協助類似病患早日度過憂傷期,勇敢接受治療。
     This case study focused on the nursing experience of caring for a 36 year-old woman who had cervial carcinoma and experienced the emotions of shock, denial, anger, depression, and acceptance. Participatory observation was used to collect data which included both verbal responses and non-verbal behaviors. Gordon's functional evaluation of health conditions was used to guide data collection. Results showed three priority problems - anxiety, latent contraction, and changes in sexual behavior. By building a therapeutic relationship with the patient and providing her with information related to her disease and chemotherapy, the patient gained knowledge about psychological and sexual problems associated with cervial cancer. Comprehensive care reduced the patient's anger and negative emotions. She was able to focus on obtaining new knowledge about therapy sessions and actively raise questions during nursing care. Findings suggest that appropriate planning and nursing care can help cervical cancer patients deal with anxiety sooner and receive treatment with less trepidation.
期刊論文
1.周珞琦、馮容莊(19960900)。婦癌病人治療後性生活滿意度的探討。榮總護理,13(3),351-359。new window  延伸查詢new window
2.鄭鴻鈞(19980500)。癌症之放射線治療。臺灣醫學,2(3),316-320。  延伸查詢new window
3.湯梅芬(19950800)。放射線治療與護理之簡介。國防醫學,21(2),156-161。  延伸查詢new window
4.Williamson, M.(1991)。Sexual adjustment after hysterectomy。Journal of Gerontological Nursing,21(1),42-47。  new window
5.Landoni, F.、Maneo, A.(1997)。Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer。Lancet,350(9077),535-540。  new window
6.Grigsby, P. W.(1996)。Primary radiotherapy for stage IB or IIA cervical cancer。J Natl Cancer Inst Monogr,21,61-64。  new window
7.李選(19940600)。性諮商與臨床應用。長庚護理,5(1)=9,4-10。new window  延伸查詢new window
8.戰愛華(19881000)。瞭解癌症病人的心理社會問題。榮總護理,5(3),294-296。new window  延伸查詢new window
9.Andersen, B.(1987)。Sexual function complication in women gynecological cancer。Cancer,60,2123-2128。  new window
10.魏玲玲(19981000)。性功能障礙病人的護理。護理雜誌,45(5),22-27。new window  延伸查詢new window
圖書
1.Groenwald, S. L.(1987)。Cancer Nursing Principles and Practice。Jones and Bartlett。  new window
2.行政院衛生署(1999)。中華民國八十八年主要死因統計。台北:行政院衛生署。  延伸查詢new window
3.吳香達(1990)。臨床婦科學。台北:茂昌。  延伸查詢new window
4.Berck, J. S.、Hacker, N. F.(2000)。Practical Gynecologic Oncology。Williams & Wilkins。  new window
 
 
 
 
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