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題名：照護一位子宮內膜癌併卵巢癌復發婦女的護理經驗
書刊名：長庚護理
作者：李佳玲
作者(外文)：Li, Chia-ling
出版日期：2015
卷期：26:2=90
頁次：頁232-241
主題關鍵詞：癌症復發；疼痛；無望感；家庭運作過程；Cancer recurrence；Pain；Hopelessness；Family operation process
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(2) 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:2
  • 共同引用共同引用:27
  • 點閱點閱:125
本文乃探討一位46歲婦女，罹患子宮內膜癌合併右側卵巢癌在經歷手術及化學治療後，在二個月內癌症復發的護理經驗。筆者於護理期間自2012年3月22日至5月10日，藉由觀察、會談、直接參與照護等方式收集個案的相關資料，運用Gorden十一項功能性護理評估模式，分析出個案所產生的健康問題有急性疼痛：與術後傷口有關、無望感：與癌症復發有關與家庭運作過程改變：與家庭成員癌症復發住院有關三個護理問題。筆者在護理期間藉由傾聽、鼓勵表達內心感受，並透過臨床照護經驗的分享及提供家庭支持，減輕個案身體之不適感及肯定個案存在的價值。照顧癌症復發的病人是一個小組的工作，小組人員須同心，建議單位可舉辦婦癌相關跨領域課程或舒適會議，透過各專科人員協助癌症病人及其家人在家庭得以適應這漫長的治療過程，更期待此篇報告提醒護理同仁時時反思，聆聽病人的擔憂，對音樂療法有初步的認識及瞭解，並期望此次之照護經驗可做為日後照護類似病人之參酌。
This paper describes the nursing experience of a 46-year-old woman who suffered from endometrial carcinoma combined with right ovarian cancer, and had cancer recurrence within 2 months after surgery and chemotherapy. During the nursing period from March 22, 2012 to May 10, 2012, the researcher collected relevant data of the patient by means of observation, interview, and direct caring experience. Moreover, with the application of Gorden's 11 functional health patterns, the researcher concluded that the health problems of this patient include the following 3 caring issues: acute pain, caused by wound after surgery; hopelessness, caused by cancer recurrence; and change of family operation process, caused by cancer recurrence and hospitalization of family member. The researcher mitigated the patient's discomfort and confirmed the value of existence of the patient by means of listening, encouraging her to express her inner feelings, sharing clinical caring experience, and offering family support. It takes team efforts to care for the patients with cancer recurrence, and the team members should work together. It is suggested that the organization should set up cross-field courses or comforting meeting related to female cancers, thus experts can help cancer patients and their family members adapt to the long-period treatment process. This report is expected to remind nurses to reflect on their practices, listen to patients' concerns, and gain a basic understanding on music therapy. This nursing experience can also serve as an example for future caring of patients with similar disease.
期刊論文
1.彭信揚(20080200)。藝術治療隱喻內涵之探討。諮商與輔導，266，42-46。  延伸查詢new window
2.王大維(20100300)。以家庭為中心的危機介入服務--家庭壓力理論對諮商心理師之啟示。諮商與輔導，291，1-8。  延伸查詢new window
3.王鵬惠、溫國璋、顏明賢、趙灌中、吳香達(20121000)。新的子宮內膜癌的分期是否較好？。中華民國婦癌醫學雜誌，2012(2)，9-13。  延伸查詢new window
4.古雪貞、李珮禎、田聖芳(20100600)。照顧一位子宮內膜癌未婚女性行子宮卵巢切除術後之護理經驗。腫瘤護理雜誌，10(1)，75-86。  延伸查詢new window
5.李靜怡(20060100)。運用羅氏適應理論於肝癌中年期患者之照護。澄清醫護管理雜誌，2(1)，51-58。  延伸查詢new window
6.李耀泰、陳福民、沈仁達、郭宗正(20120400)。卵巢癌的橫隔膜減積術。中華民國婦癌醫學雜誌，1(1)，32-37。  延伸查詢new window
7.李耀泰、陳福民、林大欽、郭宗正(20071000)。子宮內膜癌的原因。中華民國婦癌醫學雜誌，2007(2)，1-6。  延伸查詢new window
8.李耀泰、鄭文雄、陳福民、郭宗正(20071000)。子宮內膜癌的化學治療簡介。中華民國婦癌醫學雜誌，2007(2)，18-25。  延伸查詢new window
9.蔡慧君、張德馨、古雪貞(2012)。運用Watson關懷理論於一位憂鬱症生育婦女罹患卵巢癌之護理經驗。馬偕護理雜誌，6(1)，101-112。  延伸查詢new window
10.鄭育真、黃雅儀(20100600)。一位卵巢癌復發病患經歷手術治療後之護理經驗。長庚護理，21(2)=70，256-264。new window  延伸查詢new window
11.Liu, J.、Mok, E.、Wong, T.(2005)。Perceptions of supportive communication in Chinese patients with cancer: Experiences and expectations。Journal of advanced Nursing，52(3)，262-270。  new window
12.Nelson, J. E.、Angus, D. C.、Weissfeld, L. A.、Puntillo, K. A.、Danis, M.、Deal, D.、Cook, D. J.(2006)。End-of-life care for the critically ill: A national intensive care unit survery。Critical Care Medical，34(10)，2547-2553。  new window
13.Roth, A. J.、Massie, M. J.(2007)。Anxiety and management in advanced cancer。Current Opinion Supportive Palliative Care，1(1)，50-56。  new window
14.黃子鳳(20060200)。照顧一位青春期癌症復發病患之護理經驗。護理雜誌，53(1)，80-87。new window  延伸查詢new window
15.Yeo, W.,、Mo, F. K. F.、Koh, J.、Chan, A. T. C.、Leung, T.、Hui, P.、Zee, B.(2006)。Quality of life is predictive of survival in patients with unresectable hepatocellular carcinoma。Annals of Oncology，17(7)，1083-1089。  new window
16.Rolland, J. S.(2005)。Cancer and the family: Anintegrativemodle。Cancer，104(11)，2584-2595。  new window
17.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
18.Smith, J. M.、Alloy, L. B.、Abramson, L. Y.(2006)。Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: Multiple pathways to self-injurious thinking。Suicide and Live-Threatening Behavior，36，443-454。  new window
學位論文
1.蕭采云(2010)。音樂療法對手術傷口換藥的焦慮與疼痛之成效(碩士論文)。輔英科技大學。  延伸查詢new window
2.Lin, H. R.(2003)。One thousand words of luck: Narratives and analysis of U. S. resident Chinese immigrants with metastatic cancer(博士論文)。University of Massachusetts，Amherst, Massachusetts。  new window
3.Lin, H. R.(2003)。One thousand words of luck: Narratives and analysis of U.S. resident Chinese immigrants with metastatic cancer(博士論文)。University of Massachusetts，Amherst, Massachusetts。  new window
圖書
1.Andrews, G.、Studd, J.(2001)。Women's sexual health。New York, NY：Bailliere Tindall。  new window
2.McFarland, G. K.、McFarland, E. A.、周幸生、歐嘉美、蔡素華、康百淑、葉明珍、張秉宜、程仁慧(2005)。新臨床護理診斷。臺北：華杏。  延伸查詢new window
3.國家衛生研究院、TCOG婦癌研究委員會(2007)。婦癌臨床診療指引。台北：國家衛生研究院。  延伸查詢new window
 
 
 
 
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