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題名:一位罹患惡性胸腺瘤重症肌無力患者之護理經驗
書刊名:長庚護理
作者:李雅萍伍碧琦
作者(外文):Li, Ya-pingWu, Pi-chi
出版日期:2015
卷期:26:3=91
頁次:頁327-337
主題關鍵詞:惡性胸腺瘤重症肌無力無望感Malignant thymomaMyasthenia gravisHopelessness
原始連結:連回原系統網址new window
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本文描述一位43歲惡性胸腺瘤合併重症肌無力女性患者的護理經驗。筆者於2012年10月13日至2012年10月31日護理期間,運用Gordon十一項健康功能評估為工具,透過直接護理、觀察、筆談、身體評估及病歷查閱等方式進行資料收集,確認其有低效性呼吸型態、營養少於身體所需與無望感等健康問題。透過主動關懷、陪伴、傾聽來建立互信關係,藉由呼吸復健運動改善通氣狀態維持氧合,緩解其生理不適,提供高熱量、高蛋白飲食來改善其營養,運用衛教手冊說明疾病的進展,邀請家屬參與治療連結支持網絡,結合跨領域團隊照護使其能坦然接受治療。希望藉此分享面對惡性胸腺瘤合併重症肌無力的女性患者,除需重視身心安頓外,更要透過家庭支持系統激發其生存的意念。
This article describes the nursing experience of a 43-year-old female patient with malignant thymoma and myasthenia gravis. Information was collected via direct nursing, observation, written communication, physical examination, and chart review from October 13, 2012 to October 31, 2012. Gordon 11 Function Health Patterns for complete evaluation was used. Problems identified included ineffective breathing patterns, malnutrition, and feelings of hopelessness. A relationship of trust was built through caring, companionship, and listening. Respiratory rehabilitation exercises were provided to improve ventilation, to maintain oxygenation status and to relieve physical discomfort. High-calorie and high-protein diets were provided to improve nutrition. Health education manuals were used to describe disease progression, while the family members were invited to participate in treatment-linked support networks combining with interdisciplinary resource management to help the patient readily accept needed treatments. This article shares the experiences of caring for the physical and psychological needs of female malignant thymoma patients with myasthenia gravis and demonstrates how family support systems can encourage patients to receive treatments and fight against malignancy.
期刊論文
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8.蘇彥華、陳海焦(20111200)。照顧一位中年婦女面對初診斷肺癌衝擊之護理經驗。長庚科技學刊,15,91-101。  延伸查詢new window
9.劉涵盈、施麗香、陳宥蓁(20121000)。一位肺癌患者接受標靶治療不確定感之護理經驗。澄清醫護管理雜誌,8(4),52-60。  延伸查詢new window
10.何晉宇、鄭富仁、劉博銘(20090900)。Dysphagia as the Sole Presentation in Myasthenia Gravis: A Rare Case of an Uncommon Disorder。臺灣急診醫學會醫誌,11(3),86-89。  延伸查詢new window
11.Lai, C. H.、Tseng, H. F.(2010)。Nationwide Population-Based Epidemiological Study of Myasthenia Gravis in Taiwan。Neuroepidemiology,35(1),66-71。  new window
12.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
圖書
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