本文為探討一位罹患胃腸道基質瘤合併肝臟轉移之年輕男性病人，接受全胃切除之手術全期護理經驗。護理期間自2010年3月25日至4月9日，筆者以Gordon十一項健康功能性評估，運用手術全期護理模式，以訪談、觀察、傾聽及部分照護等方式，對個案進行身體、心理及社會各方面的整體性評估。發現個案有焦慮、潛在危險性傷害、急性疼痛和知識缺失等健康問題。針對其健康問題，筆者於手術前藉由持續的關懷、傾聽及同理心來鼓勵個案表達心中感受，提供手術相關的訊息，增加個案對手術的認知，以減輕焦慮；手術中依照手術室標準作業流程，維持無菌、安全的手術環境，避免潛在危險性傷害；手術後經常探視個案，教導正確使用自控式疼痛控制及按摩等方式，減緩術後傷口疼痛；恢復期間提供個案及家屬有關出院自我照顧之衛教手冊。經由手術全期的照護，協助個案積極地面對疾病及調適。希望藉由此經驗分享，提供日後照護類似病人手術全期臨床實務之參考。

This article describes the perioperative nursing care provided to a young male patient who received total gastrectomy for gastrointestinal stromal tumor (GIST) with liver metastasis. The data were collected from March 25 to April 9, 2010. Based on Gordon 11 functional health patterns, we practiced the perioperative nursing care model. The author found four health problems: anxiety, potential injury, and knowledge deficit. To help reduce anxiety in the patient, we provided continuous attention, listening and surgery-related information. During the operation, we followed the standard operation procedure to keep the patient in a safe and aseptic environment so as to avoid anypotential injury. After the operation, we constantly visited the patient, and taught him how to apply patient controlled analgesia (PCA) and massage correctly and effectively to relieve the pain. Finally, the patient and his family were educated self-care before discharge. Through sharing the experience of perioperative nursing care, we hope that the patients will get more assistance in treatment courses.