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題名:一位大腸癌末期病人之臨終照護經驗:眼角膜捐贈的心願完成
書刊名:安寧療護
作者:楊雪玲林純霖楊思憶林維君
作者(外文):Yang, Hsueh-lingLin, Chun-linYang, Si-yiLin, Wei-chun
出版日期:2014
卷期:19:2
頁次:頁181-192
主題關鍵詞:疼痛臨終照護角膜捐贈預期性哀傷PainEnd of life careCornea donationAnticipatory grieving
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(3) 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:3
  • 共同引用共同引用:35
  • 點閱點閱:8
本文探討一位大腸癌末期病人之臨終照護經驗,筆者照護期間為2012年5月22日至6月11日,運用觀察、身體評估及會談方式進行資料收集,以安寧療護生理、心理、社會、靈性與善終評估表單做整體評估,確認出病人於安寧病房住院期間有:疼痛、完成心願、家屬預期性哀傷等主要健康與照護問題。照護過程中藉由提供穴位按摩及芳香療法緩解疼痛不適,團隊並積極協助病人與家屬表達內心想法、陪伴哀傷情緒、共同面對死亡的歷程。最後完成病人眼角膜捐贈之遺願,以不同形式延續生命,達到病人善終、家屬無憾之目標。藉此照護經驗分享,讓臨床護理師能面對生命末期病人及家屬的臨終照護需求和陪伴意義、共同找尋存在價值,讓死亡安祥有尊嚴,並落實安寧緩和與哀傷關懷的照護理念。
The authors reported the nursing experience of a patient with terminal stages of colorectal cancer in this article. The palliative care period was from 22nd of May to 11th of June, 2012. The evaluation information was collected through observations, physical examinations, and interviews. To have a holistic understanding, the inventories of palliative care were also used, including physical, psychological, social, spiritual, and good-death domains. The main health and care problems of this patient were recognized as pain, a wish-fulfillment, and her families' anticipatory grief. To relief her suffering, the palliative care team provided acupressure massages and aromatherapy to ease her pain. We also actively assisted the patient and her families to express feelings authentically, and accompanied the families to face their grief as well as the dying process of their loved one. In the end of her life journey, the palliative care team worked with her family to fulfill her final wish of cornea donation, which continued her life in a meaningful form. The goals of "good death for the deceased" and "no regret for the bereaved" were achieved. This nursing experience may provide clinical nurses a standpoint to achieve the quality and meanings of end-of-life care, furthermore, to achieve the valued goals of palliative care and grief counseling.
期刊論文
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3.黃家溱、鄭彩鳳(20111200)。團體動力學在安寧療護的應用。高雄師大學報. 教育與社會科學類,31,99-118。new window  延伸查詢new window
4.胡文郁、陳宛榆、羅淑芬、陳書毓、黃翰心、陳幼貴(20111200)。成人癌症疼痛臨床照護指引。腫瘤護理雜誌,11(增刊),87-127。  延伸查詢new window
5.Ramsay, K.、Ramsay, J.、Main, D.(2007)。Both group peer counselling and individual counselling reduce anxiety and depression, and increase self-esteem and overall life satisfaction in palliative cancer care。Counsel Psycho Quarter,20,157-167。  new window
6.吳麗芬、廖玉貞、葉大成(20120900)。Nursing Student Perceptions of Spirituality and Spiritual Care。The Journal of Nursing Research,20(3),219-227。new window  new window
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9.周佩君、徐婉惠、陳瓊芳、金素英、張鳳珍、溫如玉(20120300)。癌症病人眼角膜捐贈之知識、態度及意願探討。安寧療護,17(1),36-47。new window  延伸查詢new window
10.蔡惠芳、高偉堯、洪東源、陳佳宏(20120300)。安寧療護與器官捐贈結合運用之經驗。安寧療護,17(1),76-85。new window  延伸查詢new window
11.胡薰丹、王淑貞(20071000)。陪伴一位直腸癌末期病人求死之護理經驗。志為護理,6(5),125-134。  延伸查詢new window
12.石世明(20080600)。悲傷輔導新觀念--從心靈成長到悲傷轉化。腫瘤護理雜誌,8(1),27-33。  延伸查詢new window
13.盧建中、陳琬青、林益卿、蔡佩渝(20080800)。末期癌症患者與角膜捐贈--一個案報告。安寧療護,13(3),349-356。new window  延伸查詢new window
14.Hagelin, C. L.、Seiger, A.、Fürst, C. J.(2006)。Quality of life in terminal care--with special reference to age, gender and marital status。Supportive Care in Cancer,14,320-328。  new window
15.Dumont, S.、Turgeon, J.、Allard, P.、Gagnon, P.、Charbonneau, C.、Vézina, L.(2006)。Caring for a loved one with advanced cancer: Determinants of psychological distress in family caregivers。Journal of Palliative Medicine,9(4),912-921。  new window
16.賴維淑、楊婉萍、趙可式(20090200)。安寧療護的教育--護生、一般護理人員及專科護理師。護理雜誌,56(1),11-16。new window  延伸查詢new window
17.曾翠華、林佳靜(20080400)。癌症疼痛。護理雜誌,55(2),16-21。new window  延伸查詢new window
18.高以信、李楊成(20070500)。臨床醫療之癌症疼痛控制。基層醫學,22(5),178-183。  延伸查詢new window
19.李存白、楊婉伶、蘇逸玲(20090200)。護理人員在安寧療護照護之角色與使命。護理雜誌,56(1),29-34。new window  延伸查詢new window
20.楊婉伶、李存白、張靜安(20070800)。運用安寧療護於肺癌末期病人的護理經驗。新臺北護理期刊,9(2),81-91。  延伸查詢new window
21.Chang, V. T.、Sorger, B.、Rosenfeld, K. E.、Lorenz, K. A.、Bailey, A. F.、Bui, T.、Montagnini, M.(2007)。Pain and palliative medicine。Journal of Rehabilitation Research and Development,44(2),279-294。  new window
其他
1.101年全國主要癌症死亡原因,http://health99.doh.gov.tw/TXT/PreciousLifeZone/PreciousLife_detail.aspx?topicno=791&DS=1-life, 2013/08/16。  new window
2.民國101年死因統計完整統計表(新制行政區),http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=13718&s=l, 2014/04/10。  延伸查詢new window
3.World Health Organization。WHO Definition of Palliative Care,http://www.who.int/cancer/palliative/definition/en/, 2010/05/12。  new window
 
 
 
 
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