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題名:一位子宮頸原位癌患者行腹腔鏡全子宮切除之手術全期護理
書刊名:護理雜誌
作者:陳櫻方簡淑媛劉春卿
作者(外文):Chen, Ying-fangJian, Shu-yuanLiou, Chuen-ching
出版日期:2003
卷期:50:4
頁次:頁109-115
主題關鍵詞:子宮頸原位癌經腹腔鏡全子宮切除手術全期護理Cervical intraepithelial neoplasiaLaparoscopic assisted vaginal hysterectomyPerioperative nursing
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(0) 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:0
  • 共同引用共同引用:15
  • 點閱點閱:34
     手術對一般人而言,常會引起害怕與焦慮。筆者是以手術全期護士角色,參與一位子宮頸原位癌行腹腔鏡全子宮切除病患手術前、中、後之護理過程。於護理期間,藉由持續地關懷、傾聽、關心及同理心來鼓勵個案說出其心中感受,以協助解決其手術前、中、後所面臨的問題:對手術的認知不足而造成的焦慮、預防因使用電燒器止血與膀胱截石臥位而造成的潛在危險性傷害、預防因全身麻醉而造成吸入性肺炎以及全子宮切除後病患身體、心理的改變等;並使個案及案夫皆能瞭解因疾病需接受手術的事實,體會存在的生命意義與攜手共進的可貴。
     The purpose of this case report is to present how a lead nurse used preoperative, intraoperative and postoperative nursing care for a patient who had cervical-intraepithelial-neoplasia which required laparoscopic assi-sted vaginal hysterectomy (LAVH). The author applied persistent caring, listening and empathy to encourage the patient to express her feelings and to cope with the consequences of operation, such as anxiety caused by lack of understanding of the operation procedure, prevention of electric burn injury caused by using electro-cauterization and lithotomy, prevention of aspiration pneumonia by general-anesthesia, body-image change, and mental distress arising out of the laparocopic assisted vaginal hysterectomy procedure. By providing her and her husband with information about the disease type, complications and prognosis, and the pre-operative, perioperative and post-operative nursing care during the hospitalization period, they recognized and accepted all necessary treatment, examinations, and operation procedures for treating the disease. After the LAVH procedure, the patient and her spouse re-recognized the importance of family support, the value of health, and the meaning of life.
期刊論文
1.林笑、蔡美月(19950300)。影響手術後病患首次下床的因素初探。榮總護理,12(1),71-77。new window  延伸查詢new window
2.陳淑芳(1999)。失去子宮的女人。癌症關懷,10,39-40。  延伸查詢new window
3.陳秀貲、柳惠貞(19940600)。手術全期護理初探--手術室護士突破傳統之護理角色及功能。護理新象,4(2)=34,63-77。  延伸查詢new window
4.陳文龍(1999)。子宮切除與婦女健康。台灣衛生,366,37-41。  延伸查詢new window
5.張靜媖(19901200)。由手術全期護理觀點談手術室病患護理。護理雜誌,37(4),13-18。new window  延伸查詢new window
6.陳玟秀、余玉眉(19850100)。接受根除性子宮切除術後婦女住院期間功能喪失的困擾。護理雜誌,32(1),89-99。new window  延伸查詢new window
7.Donna, M.(1999)。Management of hysteroscopic surgery complications。Association of Operating Room Nurse Journal,69(1),194-199。  new window
8.Dennison, D.(1995)。Thermal regulation of patients during the perioperative period。Association of Operating Room Nurse Journal,61(5),827-832。  new window
9.鄭凱芸(1999)。對失去子宮的女人之社工觀點。癌症關懷,10,41。  延伸查詢new window
10.李淑芬(19971200)。手術中病人安全的維護。護理雜誌,44(6),83-89。new window  延伸查詢new window
其他
1.行政院衛生署(2001)。台灣地區主要死亡原因統計表,http://www.doh.gov.tw/newverprog/proclaim/content。  延伸查詢new window
圖書論文
1.李和惠(1997)。生殖系統疾病病人之護理。當代內外科護理學。台北:華杏。  延伸查詢new window
2.李惠玲(1995)。良性腫瘤疾病。實用婦科護理。台北:匯華。  延伸查詢new window
3.林秋霞(1992)。手術病人的一般護理。最新內外科護理。台北:華杏。  延伸查詢new window
4.辜勉譯(199901)。腹腔鏡子宮切除術。婦科內試鏡手術基礎課程研習會講義。嘉義:基督教醫院。  延伸查詢new window
5.趙玫珍(1988)。手術病人身心層面之探討。手術室護理。台北:藝軒。  延伸查詢new window
6.盧小鈺(1999)。手術全期病患護理品質。手術室護理標準與建議性措施。台北:中華民國護理學會。  延伸查詢new window
 
 
 
 
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