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題名:照顧一位肝癌末期病人之護理經驗
書刊名:長庚護理
作者:林雅萍羅樺鈴巫怡翎曾斐琳
作者(外文):Lin, Ya-pingLo, Hua-lingWu, Yi-lingTseng, Fei-lin
出版日期:2015
卷期:26:2=90
頁次:頁203-213
主題關鍵詞:疼痛無望感預期性哀傷PainHopelessnessAnticipatory 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:40
  • 點閱點閱:23
本文探討一位肝癌末期個案,面對疾病無法治癒所導致身心靈困擾等護理過程。護理期間自2012年4月2日至5月2日,筆者藉由治療性會談、身體評估、觀察及直接照護等方式收集資料,經由分析及歸納,運用Gordon十一項健康功能型態評估進行整體性評估及資料整合分析後,確立個案有疼痛、無望感、預期性哀傷等三項健康問題。筆者在護理過程中藉由完整的疼痛評估、除止痛藥物控制外,提供非藥物止痛方法,如精油按摩、舒適臥位擺放等,減緩因疼痛引起等不適。因隨病情進展,面對疾病急速惡化,個案對生命感到無望,意志消沉,藉由希望的建立、生命回顧法及靈性的寄託,讓病人體會生命的存在價值,協助個案面對死亡並降低恐懼。經由真誠的關懷、傾聽、陪伴、溝通等,建立信任的治療性關係,引導家屬及個案走出死亡的陰霾,讓個案身心靈獲得滿足及心願的完成,無遺憾走完人生最後一段路,達到生死兩相安,期望此報告分享,提升護理人員對臨終病人的需求敏感性,適時提供靈性照顧,讓病人得以善終。
This article described the nursing experience for a terminal hepatoma patient from April 2 to May 2, 2012. The patient was interviewed by therapeutic talks, physical assessment, observation, and nursing care. By using Gordon's functional health assessment, three major health problems were identified, including pain, hopelessness, and anticipatory grieving are found. Cancer pain was assessed during nursing process and controlled by medications, non-medication pain relief methods, such as essential oils massage and comfortable position. However, with the rapid deterioration of the disease, hopelessness and depression were found in the case. By the establishment of hope and life, spiritual sustenance, the patient experienced the value of life in the face of the fear of death. Through genuine care, listening, companionship, communication, confidence-building therapeutic relationships, we guided the family and the patient to walk out of the shadow of death. This nursing experience stresses the need for spiritual care for terminal cancer patients and their family.
期刊論文
1.林至芃、許彥鈞、孫維仁、楊榮森(20080700)。疼痛之處置。臺灣醫學,12(4),438-445。  延伸查詢new window
2.曾愉芳、杜明勳、陳如意(20070200)。末期病人的靈性照顧與善終。基層醫學,22(2),52-55。  延伸查詢new window
3.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
4.Buglass, E.(2010)。Grief and bereavement theories。Nursing Standard,24(41),44-47。  new window
5.萬玉鳳、湯淑華、王英偉(200608)。芳香療法於安寧病房的運用。慈濟醫學,18(4)(增刊),67-70。  延伸查詢new window
6.洪淑美(20070200)。末期膀胱癌護理:一個案報告。安寧療護,12(1),87-102。new window  延伸查詢new window
7.Mystakidou, K.、Tsilika, E.、Parpa, E.、Athanasouli, P.、Galanos, A.、Anna, P.、Vlahos, L.(2009)。Illness-related hopelessness in advanced cancer: influence of anxiety, depression, and preparatory grief。Archives of Psychiatric Nursing,23(2),138-147。  new window
8.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
9.童琴惠、彭素珍(20100400)。照護一位無望感癌末病患之護理經驗。領導護理,11(1),52-62。  延伸查詢new window
10.黃麗華、郭碧照(20080600)。肝癌患者之希望與生活品質的相關性:一個前導性研究。中山醫學雜誌,19(1),67-83。  延伸查詢new window
11.楊曼華、林麗嬋(20070800)。穴位按壓於老人護理之應用。護理雜誌,54(4),10-15。new window  延伸查詢new window
12.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
13.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
14.曾慧嘉、何長珠、蔡明昌(20101200)。癌末病患家屬面臨喪慟因應行為、人際依附型態與預期性哀慟反應相關之研究。中華心理衛生學刊,23(4),563-585。new window  延伸查詢new window
15.蘇清菁、陳玉敏(20091200)。無望感之概念分析。長庚護理,20(4)=68,456-462。new window  延伸查詢new window
其他
1.衛生福利部(20120627)。民國100年死因統計年報,http://www.doh.gov.tw/CHT2006/DM/DM2_aspx?now_fodlist=12336&class_no=440&level_no=4。  new window
圖書論文
1.陳敏鋑(2008)。癌症個論。癌症護理學。台北市:華杏。  延伸查詢new window
 
 
 
 
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