本文係探討一位罹患口腔癌第二期患者，面對大範圍切除、功能性頸部廓清術、下顎骨部份切除及局部瓣膜修補術造成身心困擾之護理經驗。筆者於護理期間(2006年7月31日至8月12日)採用Gordon十一項健康功能評估工具，象用會談、觀察、傾聽及直接照顧方式收集資料、分析整理，發現個案主要健康問題包括焦慮、急性疼痛、潛在性感染、照顧者角色緊張、身體心像紊亂等，在此期間，透過護病關係的建立，取得病人及家屬信任及支持，主動關心、不批判的態度，鼓勵個案表達情緒，提供個別性及整體性的護理，協助個案減輕疾病及手術不了解的焦慮，順利改善術後疼痛，無感染不拔除管路及促進口腔及頸部傷口的癒合，增加個案自信心，重建正向自我概念，學習自我照顧，並協助解決案妻潛在之壓力問題，希望藉此護理經驗能作為護理同仁日後照顧此類患者之參考。

This paper discusses a nursing experience for the physical and mental disturbance of a patient who suffer from stage II oral cancer and faced wide excision, radical neck dissection, partial mandibular excision and local flap plasty. The author assessed the client by means of Gordon 11 healthy function evaluation tool. Data collected through interviews, observation, listening, and direct care. Finding out the chief healthy problem including anxiety, acute pain, potential infection, nervousness of the care giver, body image disturbance. During this periods, we gain trust and support of the patient with his family through establishment or nurse-patient relationship. The author applied caring, non-criticized attitude, encouraging patient to express emotion, supply individual and general nursing, Through these approach to help client release anxiety, improving pain after operation, removing tube under non-infective situation and improving healing of oral and cervical wounds, increasing assurance of client, re-establish positive self-recognition, learning self-care and assisting his wife to resolve potential pressure problem. We hope to the care report to provide nursing professionals with a source of reference for healthcare quality improvement.