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來源文獻資料
摘要
外文摘要
引文資料
題名:
運用Watson關懷理論照顧一位食道癌及結腸癌並存患者
書刊名:
長庚護理
作者:
呂雅惠
/
詹瑞君
/
李英芬
/
李芸湘
作者(外文):
Leu, Ya-hui
/
Chan, Jui-chun
/
Li, In-fun
/
Lee, Yun-hsiang
出版日期:
2019
卷期:
30:1=105
頁次:
頁89-100
主題關鍵詞:
癌症
;
Watson關懷理論
;
急性疼痛
;
焦慮
;
無望感
;
Cancer
;
Watson's caring theory
;
Acute pain
;
Anxiety
;
Hopelessness
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
50
點閱:3
本文是運用Watson關懷理論照顧一位初診斷食道癌及結腸癌並存患者,個案此次因結腸癌入院進行手術治療,術後個案除面對傷口急性疼痛,也擔心後續治療與面對經濟等問題,更因同時發現罹患食道癌而對人生感到無希望。照護期間為2017年3月26日至4月15日,筆者主要以傾聽、觀察、會談、及病歷查閱等方式收集資料,以整體性評估方式評估個案之生理、心理、社會、靈性四層面,確立個案有急性疼痛、焦慮、無望感之三項護理問題,護理過程中利用Watson關懷理論給予相關護理措施,包括:教導非藥物止痛策略及情緒放鬆技巧、傾聽個案及案妻的擔憂、評估身心不適狀況、協助尋找資源及分享成功案例等,以幫助個案緩解急性疼痛問題,並協助其能主動自我表達其感受,並適應疾病治療不適、減輕經濟負擔降低情緒困擾,積極正向的面對疾病及後續治療,以緩解個案的焦慮與焦望感。期望藉此照護經驗,作為未來醫療人員對同時罹患多癌別患者面臨相同照護議題時之重要參考依據。
以文找文
The case report described the experience of applying Watson's Caring theory to take care of a patient with a primary diagnosis of esophageal cancer and colon cancer. The patient underwent surgery for colon cancer. During hospitalization, the patient suffered from acute wound pain from surgery, was worried about follow-up treatment and financial problems, and felt hopeless due to also having esophageal cancer. Nursing care was provided in a medical ward from March 26 to April 15, 2017. Information was collected through listening, observation, interviews, and medical records review. Physical, psychological, social, and spiritual aspects of the patient were assessed and the health problems identified included: acute pain, anxiety, and hopelessness. By implementing the Watson's Caring theory, our strategies included teaching non-medication analgesia, listening to the patient's and his wife's concerns, assessing physical and mental symptoms, providing relaxation skills, and helping them to find resources and sharing successful cases. These strategies were useful in helping the patient reduce pain, actively expressing his feelings, coping with anti-cancer treatment, and reducing emotional distress which would enable him to positively face his disease and follow-up treatment. They effectively reduce the patient's anxiety and hopeless feeling. This nursing care experience can serve as an important reference for future care providers who deal with similar issues when caring for patients with multiple cancers.
以文找文
期刊論文
1.
徐莞雲、陳筱瑀(20080600)。焦慮的概念分析。志為護理,7(3),65-70。
延伸查詢
2.
蘇清菁、陳玉敏(20091200)。無望感之概念分析。長庚護理,20(4)=68,456-462。
延伸查詢
3.
Northouse, L. L.、Mood, D. W.、Schafenacker, A.、Kalemkerian, G.、Zalupski, M.、LoRusso, P.、Hayes, D. F.、Hussain, M.、Ruckdeschel, J.、Fendrick, A. M.、Trask, P. C.、Ronis, D. L.、Kershaw, T.(2013)。Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers。Psycho-Oncology,22(3),555-563。
4.
黃惠美、郭素真、王靜慧、張議文、周幸生(20120600)。建立成人癌症病人疼痛非藥物處置之臨床照護指引。榮總護理,29(2),145-158。
延伸查詢
5.
Sachs, E.、Kolva, E.、Pessin, H.、Rosenfeld, B.、Breitbart, W.(2013)。On sinking and swimming: The dialectic of hope, hopelessness, and acceptance in terminal cancer。The American Journal of Hospice and Palliative Care,30(2),121-127。
6.
許玉娟、成佳憲、李章銘、黃培銘、陳佳慧(20161100)。食道癌患者於治療期間面臨的困境與其照護策略。臺灣醫學,20(6),634-641。
延伸查詢
7.
郭瑞萍、翁靜美、陳金玫(2015)。護理人員在術後疼痛照護中的挑戰。領導護理,16(4),11-20。
延伸查詢
8.
Barbaret, C.、Brosse, C.、Rhondali, W.、Ruer, M.、Monsarrat, L.、Michaud, P.、Filbet, M.(2017)。Financial distress in patients with advanced cancer。PLOS ONE,12(5),e0176470。
9.
Baba, Y.、Yoshida, N.、Kinoshita, K.、Iwatsuki, M.、Yamashita, Y. I.、Chikamoto, A.、Baba, H.(2018)。Clinical and pognosticfeatures of patients with esophageal cancer and multiple primary cancers: A retrospective single-institution study。Annals of surgery,267(3),478-483。
10.
Hellstadius, Y.、Lagergren, J.、Zylstra, J.、Gossage, J.、Davies, A.、Hultman, C. M.、Wikman, A.(2017)。Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery。Diseases of the Esophagus,30(8),1-7。
11.
Boekel, R. L.、Steegers, M. A.、Verbeek-van Noord, I.、Sande, R.、Vissers, K. C.(2015)。Acute pain services and postsurgical pain management in the Netherlands: A survey。Pain Practice,15(5),447-454。
12.
Chou, R.、Gordon, D. B.、de Leon-Casasola, O. A.、Rosenberg, J. M.、Bickler, S.、Brennan, T.、Wu, C. L.(2016)。Management of postoperative pain: A clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council。The Journal of Pain,17(2),131-157。
13.
Han, Y.、Yuan, J.、Luo, Z.、Zhao, J.、Wu, J.、Liu, R.、Lopez, V.(2013)。Determinants of hopelessness and depression among Chinese hospitalized esophageal cancer patients and their family caregivers。Psycho-Oncology,22(11),2529-2536。
14.
Jakobsson, J.、Idvall, E.、Wann-Hansson, C.(2016)。General health and state anxiety in patients recovering from colorectal cancer surgery。Journal of Advanced Nursing,72(2),328-338。
15.
Richardson, E. M.、Scott, J. L.、Schuz, N.、Sanderson, K.、Schuz, B.(2017)。Qualitatively comparing the support needs of people with cancer based on their history of anxiety/depression。Oncology and Therapy,5(1),41-51。
16.
Miyazaki, T.、Sohda, M.、Higuchi, T.、Tanaka, N.、Suzuki, S.、Sakai, M.、Kato, H.(2014)。Effectiveness of FDG-PET in screening of synchronous cancer of other organs in patients with esophageal cancer。Anticancer Research,34(1),283-287。
17.
Nehir, S.、Tavşanli, N. G.、Ozdemir, C.、Akyol, T.(2017)。A Determination of Hopelessness and the Perception of Illness in Cancer。OMEGA-Journal of Death and Dying,79(2),115-131。
18.
陳曉琦、周汎澔(20100600)。Watson人性化關懷照護理論與Swanson關懷照護理論之比較。護理雜誌,57(3),86-92。
延伸查詢
19.
Wang, G. L.、Hsu, S. H.、Feng, A. C.、Chiu, C. Y.、Shen, J. F.、Lin, Y. J.、Cheng, C. C.(2011)。The HADS and the DT for screening psychosocial distress of cancer patients in Taiwan。Psycho-Oncology,20(6),639-646。
圖書
1.
Watson, Jean(1985)。Nursing: Human Science and Human Care: a Theory of Nursing。East Norwalk:Appleton-Century-Crofts。
2.
American Psychiatric Association(2013)。Diagnostic and statistical manual of mental disorders。Washington, DC:American Psychiatric Association。
其他
1.
衛生福利部(2017)。105年死因統計結果分析,http://dep.mohw.gov.tw/DOS/lp-3352-113.html。
延伸查詢
2.
National Comprehensive Cancer Network(2016)。Distress management,http://www.nccn.org/professionals/physician_gls/PDF/distress.pdf。
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