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題名:一位年輕產婦於哺乳期間行子宮根除併卵巢移位術之護理經驗
書刊名:長庚護理
作者:楊淑文
作者(外文):Yang, Shu-wen
出版日期:2018
卷期:29:3=103
頁次:頁478-490
主題關鍵詞:子宮頸癌母乳哺餵子宮根除卵巢移位Cervical cancerBreastfeedingRadical hysterectomyOvarian transposition
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:2
  • 點閱點閱:4
本文描述一位年輕婦女在產後哺乳期間被診斷出子宮頸癌,並接受子宮根除併卵巢移位術之護理經驗。照護期間為2016年1月27日至2月5日,筆者藉由術前訪視、觀察傾聽、查閱病歷、術後訪視8次、電話訪談等方式來收集資料,運用Gordon11項功能性健康型態為評估架構,確立個案主要的健康問題有焦慮、急性疼痛、身體心像紊亂等。照護過程中透過建立完善雙向互動治療性關係,擬定個別及連續性護理措施,於術前陪同個案進行麻醉諮詢,釐清哺乳相關疑問,運用手術情境模擬與適切性衛教,降低個案術前焦慮;術後提供減緩疼痛方法以增加舒適感,並提供哺乳用藥相關文獻提昇認知,使其能安心哺乳、重拾母性自信及維持良好親子依附發展;鼓勵先生及家人支持並參與護理計畫,轉介正向病友分享自我調適經驗,引導正面感受其身體心像改變,得以重新接納自我,使個案住院期間身心問題皆能獲得改善。
This article described the nursing care experience of a young breast-feeding woman diagnosed with cervical cancer after childbirth and received radical hysterectomy and ovarian transposition procedure. The nursing care period was from January 27th to February 5th, 2016. The data were collected from eight pre- and postoperative interviews, observation and listening, chart review, and telephone interview after discharge. Utilizing the Gordon 11 Function Health Patterns assessment tool, the main problems of the patient were recognized as anxiety, acute pain, and body image disturbance. Through establishing mutual therapeutic alliance, devise personal and continuous nursing plan, accompany during anesthesia consultation, clarifying the doubt about breast feeding with appropriate education, and simulation of operation scenario, the preoperative anxiety level was effectively reduced. Postoperative analgesia and relevant references about drugs in lactation were provided to decrease discomfort, reassuring safety in breast-feeding and maintaining the attachment between mother and child. Through encouraging the husband and family to participate in the nursing plan and introducing other patients with similar disease to share the experience, the patient were able to adapt the change of body image positively and accept herself and improve physically and mentally during hospitalization.
期刊論文
1.明金蓮、洪曉佩(20110500)。急性疼痛評估與症狀護理。源遠護理,5(1),11-16。  延伸查詢new window
2.李鳳雪、王國明、高毓秀(20121200)。初產婦背景因素對母乳哺餵經驗與自我效能之影響。助產雜誌,54,56-67。  延伸查詢new window
3.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
4.林祝君、王淑芳、黃于華(20111100)。哺乳對母親角色形塑--自我平衡理論。助產雜誌,53,50-60。  延伸查詢new window
5.Kronborg, H.、Harder, I.、Hall, E. O. C.(2015)。First time mothers' experiences of breastfeeding their newborn。Sexual & Reproductive Healthcare,6(2),82-87。  new window
6.劉怡玲、陳素里(20130900)。一位愛滋病剖腹產婦女行非預期子宮切除之手術全期護理經驗。醫學與健康期刊,2(2),107-116。new window  延伸查詢new window
7.王婉珊、王姮樺、陳繪竹(20131200)。協助一位子宮頸癌患者於術後重建母親及妻子角色之護理經驗。高雄護理雜誌,30(3),66-74。  延伸查詢new window
8.李耀泰、陳福民、郭宗正(20150500)。婦癌之快速照護路徑。臺灣醫學,19(3),298-303。  延伸查詢new window
9.郭素真、葉淑娥、陳淑芬、鄭涵文、謝佑珊(20110600)。婦癌病人參與支持團體分享之經驗。榮總護理,28(2),139-147。new window  延伸查詢new window
10.黃秋雯、謝伶瑜(20150700)。婦癌病患之疾病訊息需求。安寧療護,20(2),145-153。new window  延伸查詢new window
11.葉丁毓、余佳華、魏振峰(20120300)。哺乳期牙科用藥安全。中華民國家庭牙醫學雜誌,6(4),4-16。  延伸查詢new window
12.劉羽嫣、陳威志、陳淑齡(20160400)。罹患乳房膿瘍婦女持續哺乳之經驗。護理雜誌,63(2),49-57。new window  延伸查詢new window
13.American Pain Society Quality of Care Committee(1995)。Society Quality of Care Committee Quality improvement guidelines for the treatment of acute pain and cancer pain。The Journal of the American Medical Association,274(23),1874-1880。  new window
14.Basta, P.、Streb, J.、Szczygiel, K.(2015)。Fertility-sparing treatment in female genital cancer and breast cancer。Ginekologia polska,86(6),473-476。  new window
15.Irtan, S.、Orbach, D.、Helfre, S.、Sarnacki, S.(2013)。Ovarian transposition in prepubescent and adolescent girls with cancer。The Lancet Oncology,14(13),601-608。  new window
16.Martel, C.、Faller, E.、Delaine, M.、Boisrame, T.、Baldauf, J. J.、Akladios, Y. C.(2016)。Type B laparoscopic radical trachelectomy with pelvic lymphadenectomy for early cervical cancer。Journal of Minimally Invasive Gynecology,24(1),14-15。  new window
17.Montgomery, A.、Hale, T. W.(2012)。ABM clinical protocol #15: Analgesia and anesthesia for the breastfeeding mother, Revised 2012.。Breastfeeding Medicine,7(6),547-553。  new window
18.Zubaran, C.、Foresti, K.(2013)。The correlation between breastfeeding self-efficacy and maternal postpartum depression in southern Brazil。Sexual & Reproductive Healthcare,4(1),9-15。  new window
研究報告
1.衛生福利部(20170505)。民國104年主要死因統計結果分析。  延伸查詢new window
其他
1.World Health Organization(2015)。Baby-friendly hospital initiative,http://www.who.int/nutrition/topics/bfhi/en/。  new window
圖書論文
1.黃玉琪、吳碧雲、蕭思美(2012)。疼痛病人之醫療與護理處置。內外科護理學。台北市:華杏。  延伸查詢new window
 
 
 
 
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