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題名:一位乳癌病人接受乳房重建手術後之身心照護
書刊名:長庚護理
作者:李菁娥陳淑卿 引用關係
作者(外文):Lee, Ching-erChen, Shu-ching
出版日期:2004
卷期:15:2=46
頁次:頁200-208
主題關鍵詞:乳癌乳房重建身心照護Breast cancerBreast reconstructionPhysical and psychological care
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:3
  • 點閱點閱:41
      本文是探討一位33歲婦女,因罹患乳癌接受改良式乳房根除手術,五年後接受乳房重建手術而出現身心方面不適應的護理經驗。於照護期間以系統性的觀察及會談,以Gorden成人健康功能型態進行護理評估,發現個案有皮膚完整性受損、身體心像混亂及調適障礙等護理問題。透過護理活動之介入,促進傷口癒合,協助面對身體外觀改變及不確定感,並鼓勵加入支持團體,促使身心狀態達到有效的整合。藉此護理經驗的分享,冀能提供日後護理同仁照顧類似個案病患時之參考。
     This case study reported the nursing experience of a 33 years old woman with breast cancer who received modified radical mastectomy, and after 5 years, received breast reconstruction. Three major nursing problems were found by using Gorden’s functional health assessment guide through systemic observation and interview. They were impaired skin integrity, disturbance of body image, and impaired adjustment. Nursing intervention included promoting wound healing, helping patient face the change of body appearance and uncertainly, and encouraging patient joining support group, to improve physical and psychological status and reach effective integration. This report provided nurses with a reference for caring similar patients in the future
期刊論文
1.季瑋珠、黃俊升、張金堅(19970200)。臺灣的乳癌。中華公共衛生雜誌,16(1),62-76。new window  延伸查詢new window
2.馬旭(19951200)。乳房重建。臨床醫學,36(6)=216,392-394。new window  延伸查詢new window
3.唐友文、方榮煌(19881000)。乳房之重建及美容術。臨床醫學,22(4)=130,289-298。new window  延伸查詢new window
4.陳淑卿、賴裕和、陳品玲、鄭素月(20020300)。乳房重建病患的護理。長庚護理,13(1)=37,51-56。new window  延伸查詢new window
5.郭文宏、張金堅(19991200)。乳癌治療的新趨勢。當代醫學,26(12)=314,7-10。  延伸查詢new window
6.陳右昇、湯月碧(20010500)。乳房切除後乳房重建。臺北市醫師公會會刊,45(5),59-64。  延伸查詢new window
7.曾令民(20010600)。侵襲性乳癌的手術治療演變及新趨勢。臺北市醫師公會會刊,45(6),26-33+78-79。  延伸查詢new window
8.賴永隆(19921100)。乳房腫瘤的術後重建。醫學繼續教育,2(6),994-996。  延伸查詢new window
9.Wilkins, Edwin G.、Cederna, Paul S.、Lowery, Julie C.、Davis, Jennifer A.、Kim, Hyungjin Myra、Roth, Randy S.、Goldfarb, Sherry、Izenberg, Paul H.、Houin, Herman P.、Shaheen, Kenneth W.(2000)。Prospective Analysis of Psychosocial Outcomes in Breast Reconstruction: One-Year Postoperative Results from the Michigan Breast Reconstruction Outcome Study。Plastic & Reconstructive Surgery,106(5),1014-1025。  new window
10.Granda, C.(1994)。Nursing management of patients with lymphedema associated with breast cancer therapy。Cancer Nursing,17(3),229-235。  new window
11.鄭明輝(2001)。乳房重建的最新趨勢。長庚醫訊,33(1),14-15。  延伸查詢new window
12.Koshima, I.、Inagawa, K.、Urushibara, K.、Ohtsuki, M.、Moriguchi, T.(2000)。Deep inferior epigastric perforator dermal-fat or adiposal flap for correction of craniofacial contour deformities。Craniofacial Contour Deformities,106(1),10-15。  new window
13.Hoskins, C. N.、Haber, J.(2000)。Adjusting to breast cancer。American Journal of Nursing,100(4),26-33。  new window
14.Hinojosa, R. J.、Layman, A. S.(2001)。Breast reconstruction through tissue expansion。Plastic Surgical Nursing,16(3),139-145。  new window
15.Hart, D.(1996)。The psychological outcome of breast reconstruction。Plastic Surgical Nursing,16(3),167-171。  new window
16.Harcourt, D.、Rumsey, N.(2001)。Psychological aspects of breast reconstruction: A review of the literature。Journal of Advanced Nursing,35(4),477-487。  new window
17.Wu, J. H.、Lu, S. Y.(1989)。Breast reconstruction after mastectomy。Journal of American Academy of Physician Assistants,2(1),93-101。  new window
18.Whitman, M.、McDaniel, R. W.(1993)。Preventing lymphedema, an unwelcome sequel to breast cancer。Nursing,23(12),34-39。  new window
19.Payne, D. K.、Sullivan, M. D.、Massie, M. J.(1996)。Women's psychological reactions to breast cancer。Seminars in Oncology Nursing,23(1),89-97。  new window
20.Miller, M. J.(1998)。Immediate breast reconstruction。Clinics in Plastic Surgery,25(2),145-156。  new window
21.王先震、熊震宇、鄭天宇、鄭立福(1990)。乳房的重建。國防醫學,10(5),478-484。  延伸查詢new window
22.楊志新(19990400)。乳癌的輔助性治療。當代醫學,26(4)=306,16-17。  延伸查詢new window
圖書
1.行政院衛生署(2003)。中華民國八十八年癌症登記報告。臺北市:行政院衛生署。  延伸查詢new window
2.Denton, S.(1996)。Breast cancer nursing。New York:London:Chapman Hall:Chapman & Hall。  new window
 
 
 
 
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