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題名:運用輔助液體敷料照顧一位頭頸癌病人之護理經驗
書刊名:長庚護理
作者:黃怡螢劉雪娥
作者(外文):Huang, Yi-yingLiu, Hsueh-erh
出版日期:2018
卷期:29:2=102
頁次:頁305-313
主題關鍵詞:頭頸癌口腔黏膜液體敷料口腔黏膜炎Head and neck cancerOral liquid dressingOral mucositis
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:1
  • 點閱點閱:10
本文目的為探討一位頭頸癌病人接受同步化學與放射線治療,照護期間為2016年8月8日至9月30日,運用直接照護、會談和觀察等方法,以Orem理論為評估工具,健康問題包括口腔黏膜改變/與進食困難、口腔不適、口腔破損、口腔疼痛、口腔潰瘍有關,及疼痛造成舒適情況改變。提供口腔清潔護理,指導病人利用輔助的口腔黏膜液體敷料,減少因口腔黏膜炎造成的疼痛、進食困難,與口乾不適,增進病人的生活品質,並鼓勵病人正向積極的面對治療過程中遇到的挫折。口腔黏膜液體敷料適合作為患者療程期間與傷口復癒前的照護醫材,藉本文經驗分享,期能提供照護此類病人之參考,協助病人患者及家屬事先知道如何應變及預防各種副作用,做好心理準備,降低情緒低潮,以助抗癌治療的成功。
This article described the nursing experience of care a patient withhead and neck cancer underwent concurrent chemotherapy and radiotherapy. The nursing period was from August 8th to September 30th 2016. The information were collected by direct care, interview, and observation along with using Orem Theoretical Models for assessment. The patient had oral mucositis associated with mucosal changes, oral discomfort, pain, and eating difficult. We provided oral hygiene care and instructed the patient how to use oral liquid dressing. Oral liquid dressing was an aid to alleviate pain, eating difficulty, and dry mouth, thus, the quality of life for this patient was enhanced. In addition, patient was encouraged to positively face the frustration and discomfort caused by treatments. Oral liquid dressing was considered as a suitable aid to increase the healing process for patient with oral lesions. This article shared the caring experience with the hope to provide a reference for caring patients with similar conditions. Helping patients and their family members learn how to prevent and handle the adverse effects of therapy and to overcome emotional distresses throughout the therapy was critical for caring patients with cancers.
期刊論文
1.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
2.周繡玲、謝嘉芬、李佳諭、江孟冠、紀雯真(20111200)。癌症病人口腔黏膜炎臨床照護指引。腫瘤護理雜誌,11(增刊),61-85。  延伸查詢new window
3.Chen, S. C.、Lai, Y. H.、Liao, C. T.、Lin, C. C.、Chang, J. T. C.(2010)。Changes of symptoms and depression in oral cavity cancer patients receiving radiation therapy。Oral Oncology,46(7),509-513。  new window
4.Hayward, M. C.、Shea, A. M.(2009)。Nutritional needs of patients with malignancies of the head and neck。Seminars in Oncology Nursing,25(3),203-211。  new window
5.Silverman, S. Jr.(2007)。Diagnosis and management of oral mucositis。The Journal of Supportive Oncology,5(2 Suppl 1),13-21。  new window
6.吳俐燕、林以正、林明慧、黃信彰(20070100)。緩和照護的口腔黏膜炎。基層醫學,22(1),35-39。  延伸查詢new window
7.李麗雲、陳淑卿、簡淑慧(20120300)。運用Orem理論照顧一位放射線治療頭頸癌病人之護理經驗。長庚護理,23(1)=77,80-88。new window  延伸查詢new window
8.Barber, C.、Powell, R.、Ellis, A.、Hewett, J.(2007)。Comparing pain control and ability to eat and drink with standard therapy vs gelclair: A preliminary, double centre, randomised controlled trial on patients with radiotherapy-induced oral mucositis。Supportive Care in Cancer,15(4),427-440。  new window
9.Chaveli-López, B.、Bagán-Sebastián, J. V.(2016)。Treatment of oral mucositis due to chemotherapy。Journal of Clinical & Experimental Dentistry,8(2),e201-e209。  new window
10.Chaitanya, N. C.、Garlapati, K.、Priyanka, D. R.、Soma, S.、Suskandla, U.、Boinepally, N. H.(2016)。Assessment of anxiety and depression in oral mucositis patients undergoing cancer chemoradiotherapy: A randomized cross-sectional study。Indian Journal of Palliative Care,22(4),446-454。  new window
11.Cella, D.、Pulliam, J.、Fuchs, H.、Miller, C.、Hurd, D.、Wingard, J. R.、Giles, F.(2003)。Evaluation of pain associated with oral mucositis during the acute period after administration of high-dose chemotherapy。Cancer,98(2),406-412。  new window
12.Innocenti, M.、Moscatelli, G.、Lopez, S.(2002)。Efficacy of gelclair in reducing pain in palliative care patients with oral lesions: preliminary findings from an open pilot study。Journal of Pain and Symptom Management,24(5),456-457。  new window
13.Elting, L. S.、Cooksley, C. D.、Chambers, M. S.、Garden, A. S.(2007)。Risk, outcomes, and costs of radiation-induced oral mucositis among patients with head-and-neck malignancies。International Journal of Radiation Oncology Biology Physics,68(4),1110-1120。  new window
14.Cheng, K. K.、Goggins, W. B.、Lee, V. W.、Thompson, D. R.(2008)。Risk factors for oral mucositis in children undergoing chemotherapy: A matched case-control study。Oral Oncology,44(11),1019-1025。  new window
15.Lalla, Rajesh V.、Sonis, Stephen T.、Peterson, Douglas E.(2008)。Management of Oral Mucositis in Patients Who Have Cancer。Dental Clinics of North America,52(1),61-77。  new window
16.Naidu, M. U.、Ramana, G. V.、Rani, P. U.、Mohan, I. K.、Suman, A.、Roy, P.(2004)。Chemotherapy-induced and/or radiation therapy-induced oral mucositis-complicating the treatment of cancer。Neoplasia,6(5),423-431。  new window
17.Murphy, B. A.、Beaumont, J. L.、Isitt, J.、Garden, A. S.、Gwede, C. K.、Trotti, A. M.、Cella, D.(2009)。Mucositis-related morbidity and resource utilization in head and neck cancer patients receiving radiation therapy with or without chemotherapy。Journal of Pain and Symptom Management,38(4),522-532。  new window
18.Kapoor, P.、Sachdeva, S.、Sachdeva, S.(2001)。Topical hyaluronic Acid in the management of oral ulcers。Indian Journal of Dermatology,56(3),300-302。  new window
19.Trotti, A.、Bellm, L. A.、Epstein, J. B.、Frame, D.、Fuchs, H. J.、Gwede, C. K.、Zilberberg, M. D.(2003)。Mucositis incidence, severity and associated outcomes in patients with head and neck cancer receiving radiotherapy with or without chemotherapy: a systematic literature review。Radiotherapy and Oncology,66(3),253-262。  new window
20.Trotti, A.(2000)。Toxicity in head and neck cancer: a review of trends and issues。International Journal of Radiation Oncology, Biology, Physics,47,1-12。  new window
21.Stone, R.、Fliedner, M. C.、Smiet, A. C.(2005)。Management of oral mucositis in patients with cancer。European Journal of Oncology Nursing,9(Suppl 1),S24-S32。  new window
會議論文
1.De Cordi, D.、Martina, S.(2001)。Gelclair: potentially an efficacious treatment for chemotherapy-induced mucositis。The Italian Tumor League III Congress of Professional Oncology Nurses,(會議日期: October 10-12)。Conegliano。  new window
研究報告
1.衛生福利部(20150617)。中華民國103年國人死因統計結果。  延伸查詢new window
學位論文
1.陳貞如(2009)。比較不同漱口液於放射線治療之頭頸部癌症病人其口腔黏膜炎之預防成效(碩士論文)。國立成功大學,臺南。  延伸查詢new window
2.陳育弘(2012)。癌症治療引起口腔黏膜炎的疼痛評估與因應措施之探討(碩士論文)。國立陽明大學。  延伸查詢new window
3.黃怡螢(2013)。不同口腔照護對頭頸部癌症病患接受放射線治療期間口腔黏膜炎及生活品質之影響(碩士論文)。長庚大學。  延伸查詢new window
其他
1.Cancer.Net Editorial Board(2016)。Head and neck cancer--introduction,http://www.cancer.net/cancer-types/head-andneck-cancer/introduction.。  new window
2.衛生福利部(20160805)。104年國人死因統計結果,https://www.mohw.gov.tw/cp-2630-18831-1.html。  延伸查詢new window
 
 
 
 
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