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題名:照顧一位頰黏膜癌個案接受人工皮重建手術後之護理經驗
書刊名:榮總護理
作者:陳玫儜林慧玲
作者(外文):Chen, Mei-ningLin, Hui-lin
出版日期:2015
卷期:32:1
頁次:頁92-99
主題關鍵詞:頰黏膜癌重建身體心像紊亂口腔黏膜改變Buccal squamous cell carcinoma reconstructionBody image disturbanceChange in oral mucosa
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:26
  • 點閱點閱:9
本文是探討一位罹患頰黏膜癌個案接受人工皮瓣重建手術所引起身心反應之護理經驗。護理照護期間自2012年7月17日至26日,以Gorden十一項健康功能型態評估為架構,經由訪談、觀察、直接照護、會談與病歷查閱等方式收集主、客觀資料,確立個案有焦慮、口腔黏膜改變及身體心像紊亂等健康問題。護理過程中擬定個別性護理計畫,鼓勵個案表達出內心對疾病與治療的擔憂、焦慮,術後讓個案與家屬一同檢視傷口,藉由傷口照護衛教,並定期口腔清潔護理,減少口腔異味及降低傷口感染;提供腫瘤切除及重建的資訊釐清其疑問與不安。術後易有自尊低落及身心適應問題,協助建立正向思考與認同感,預防社交隔離,提升照護頰黏膜癌重建病患之術後護理照護品質。
This report describes the nursing experience of a patient with physical and psychological reaction to skin reconstruction surgery for buccal squamous cell carcinoma. Gordon's 11 Function Health Patterns Assessment criteria were used to evaluate the patient from 17 to 26 July, 2012. The health problems included 1) anxiety, 2) change in the oral mucosa, and 3) body image disturbance. The author provided complete care plans during the nursing period. The patient and his family received education on wound care, with emphasis on cleaning and caring for the infection and improving the oral odor. The author also provided the information on tumor resection and artifi cial skin reconstruction, as well as suggestions for physical and psychological adaptation after surgery to alleviate his uncertainty and anxiety. Helping the patient to establish positive thinking and identity enabled him to return to society; this approach improves nursing care for patients with buccal squamous cell carcinoma.
期刊論文
1.蔡紫暄、周繡玲、陳麗糸(20111200)。口腔癌患者術後症狀困擾及其相關因素探討。腫瘤護理雜誌,11(2),23-35。  延伸查詢new window
2.Chen, S. C.(2012)。Life experiences of Taiwanese oral cancer patients during the postoperative period。Scandinavian Journal of Caring Sciences,26(1),98-103。  new window
3.李淑芳、李月珠、梁蕙芳(20100600)。提升化學治療合併放射線療法之口腔癌患者口腔護理指導執行率。長庚護理,21(2)=70,185-196。new window  延伸查詢new window
4.詹淑雅、劉芹芳、金繼春(20110400)。身體心像紊亂之概念分析。新臺北護理期刊,13(1),63-72。  延伸查詢new window
5.王蔚芸、王桂芸、湯玉英(20070300)。焦慮之概念分析。長庚護理,18(1)=57,59-67。new window  延伸查詢new window
6.Harris, D. J.、Eilers, J.、Harriman, A.、Cashavelly, B. J.、Maxwell, C.(2008)。Putting evidence into practice: Evidence-based interventions for the management of oral mucositis。Clinical Journal of Oncology Nursing,12(1),141-152。  new window
7.李宛倫、林麗絲、陳敏麗(20100700)。運用芳香療法照顧一位下咽癌女性術後照護之經驗。澄清醫護管理雜誌,6(3),47-53。  延伸查詢new window
8.洪秀琴、陳淑卿、高婉琪、許月香、李夢英(20080600)。口腔癌皮瓣重建術後執行口腔護理之改善專案。腫瘤護理雜誌,8(1),35-49。  延伸查詢new window
9.張瑞東(20111200)。頭頸部腫瘤手術後活動障礙之物理治療。腫瘤護理雜誌,11(2),1-10。  延伸查詢new window
10.Fang, C. Y.、Longacre, M. L.、Manne, S. L.、Ridge, J. A.、Lango, M. N.、Burtness, B. A.(2012)。Informational needs of head and neck cancer patients。Health and Technology,2(1),57-62。  new window
學位論文
1.林芸如(2009)。男性口腔癌個案術後身體心像因應及社會支持相關性探討(碩士論文)。中山醫學大學。  延伸查詢new window
圖書
1.口腔癌工作群編撰小組(2011)。口腔癌臨床診療指引。苗栗縣:財團法人國家衛生研究院。  延伸查詢new window
其他
1.衛生福利部國民健康署(2013)。口腔癌防治,http://www.hpa.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?No=201312310002&parentid=200712250032。  延伸查詢new window
 
 
 
 
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