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題名:照顧一位口腔癌患者於重建顯微手術後之護理經驗
書刊名:長庚護理
作者:陳鑑芬劉雪娥陳文文
作者(外文):Chen, Chien-fenLiu, Hsueh-erhChen, Wen-wen
出版日期:2003
卷期:14:2=42
頁次:頁176-183
主題關鍵詞:口腔癌立即顯微重建組織灌流改變Buccal cancerInstant or immediate reconstructionTissue perfusion altered
原始連結:連回原系統網址new window
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  • 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:68
  • 點閱點閱:30
     臺灣地區口腔癌之病患人數有逐年上升之趨勢。其手術治療方式也由早期的單純病灶切除,進步至目前的立即顯微重建手術。本文以一第四期口腔癌接受立即顯微重建手術之病患為對象。筆者於加護單位中以護理過程為指引,運用Gordon's十一項功能性健康型態進行護理評估,自89年6月至7月間藉直接護理、觀察和會談收集資料並分析得個案於加護單位中面臨諸如:組織灌流改變:有關周邊血管:呼吸道切除功能失效:疼痛:營養狀況改變:少於身體需要:家庭運作過程改變及身體心像改變等護理問題。文中詳述各種護理問題之相關措施與評值。分享此護理經驗可提供此類病患照護之參考,進而提昇照護品質。
     The incidence and prevalence of patient diagnosed as buccal cancer increased gradually. The focus of surgery for buccal cancer has changed from tumor resection to immediate reconstruction microsurgery. A patient diagnosed as stage IV buccal cancer and treated with immediate reconstruction microsurgery was selected in this report. Data were collected by recording direct nursing care, observation, and interview processes. Nursing porblems such as tissue perfusion altered: peripheral, ineffective respiratory clearance, comfort altered, pain, nutrition altered: less than required, family process altered, and body image altered were identified by a Gordon 11-item health assessment. This particular experience can be used as a reference of caring for this specific group of patients.
期刊論文
1.林幼麗(19980900)。照顧一位肺癌末期病患之護理經驗。長庚護理,9(3)=23,76-84。new window  延伸查詢new window
2.Abramobitz, Linda Z.、曾修儀(19951200)。疼痛的評估及處理。護理雜誌,42(4),85-90。new window  延伸查詢new window
3.李秀芳(19950600)。口腔癌患者顯微手術重建術後護理。長庚護理,6(1)=11,47-50。new window  延伸查詢new window
4.侯勝茂(19860500)。顯微手術的術前、術中、術後注意事項。當代醫學,13(5)=151,55-60。  延伸查詢new window
5.徐蕙妮(19951200)。癌症病人之手術護理。護理雜誌,42(4),43-48。new window  延伸查詢new window
6.陳美雲(19990600)。一位胃癌瀕死病患生理、心理反應及需求。長庚護理,10(2)=26,44-49。new window  延伸查詢new window
7.Chen. H. C.、Demirkan, F.、Wei, F. C.(1999)。Free fibula osteoseptocutaneous-pedicled pectoralis major myocutaneous flap combination in reconstruction of extensive composite mandibular defects。Plastic and Reconstructive Surgery,103(3),839-845。  new window
8.Hreman, D. C.(1989)。Concerns for the dying patient and family。Seminars in Oncology Nursing,5(2),120-123。  new window
9.Wei, F. C.、Demirkan, F.、Chen, H. C.(1999)。Management of secondary soft-tissue deficits following microsurgical head and neck reconstruction by means of another free flap。Plastic and Reconstructive Surgery,103(4),1158-1166。  new window
10.Wei, F. C.、Seah, C. S.、Tsai, Y. C.(1994)。Fibula osteoseptocutaneous flap for reconstruction of composite mandibular defects。Plastic and Reconstructive Surgery,93(2),294-306。  new window
11.趙可式(19970200)。臺灣癌症末期病患對善終意義的體認。護理雜誌,44(1),48-55。new window  延伸查詢new window
12.許町子、杜異珍(19970300)。癌症病患和家屬對安寧照顧需求之探討。榮總護理,14(1),11-23。new window  延伸查詢new window
研究報告
1.行政院衛生署(2000)。台灣地區男性主要癌症死亡率比較。  延伸查詢new window
圖書論文
1.Wasserman, T. H.、Kligerman, M. M.(1992)。Chemical modifiers of radiation。Principles and practices of radiation oncology。Phliadephia:J. B. Lippincott。  new window
 
 
 
 
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