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題名:一位乳癌病人行乳房重建手術之護理經驗
書刊名:榮總護理
作者:盧羿璇洪麗琴
作者(外文):Lu, Yi-hsuanHung, Lin-zin
出版日期:2019
卷期:36:3
頁次:頁319-326
主題關鍵詞:乳癌乳房重建手術Breast cancerBreast reconstruction
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(1) 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:1
  • 共同引用共同引用:9
  • 點閱點閱:2
乳房對女性而言,是身體外觀及性別的重要象徵。本文為描述一位女性乳癌病人行乳房重建手術後,歷經生理改變造成心理衝擊的護理經驗。護理期間自2018年4月27日至5月5日,藉由直接照護、身體評估、病歷查閱及會談方式收集資料,以Gordon十一項健康型態評估工具進行整體性評估,發現個案有潛在危險性感染、焦慮及身體心像改變的健康問題。照護期間教導居家傷口照護方式、提供乳癌衛教資料、勵志讀物、安排乳癌病友經驗分享及鼓勵參與乳癌協會、Line群組分享,減輕焦慮,進而適應乳房重建手術後身體的改變,並儘早重返職場;運用關懷及傾聽方式,鼓勵說出身體心像改變之感受,使其重拾信心並以正向的態度接受疾病及治療。藉此次乳癌病人行乳房重建手術後照護的經驗,提供日後類似病人的照護建議與參考。
This article explores the nursing experience of caring for a woman with breast cancer undergoing breast reconstruction surgery. The period of nursing care was from April 27 to May 5, 2018. Through personal medical data collection, physical assessment, and interview records, Gordon's 11 functional health patterns evaluation showed that the patient's problems were risk of infection, anxiety, and body image disturbance. During the period of caring, the author performed wound care and counseled the patient and her caregiver regarding the methods of caring. Additionally, health education leaflets, inspirational books, and support group access were provided to relieve anxiety, and the patient was encouraged to express her feelings. The patient regained her confidence and positive attitudes and adapted to her new body image after breast reconstruction surgery and returned to the workplace. The results of this nursing experience can provide colleagues with a case reference for similar patients.
期刊論文
1.趙慧玲、黃惠如、謝碧晴、蘇慧芳(20130900)。癌症病人情緒困擾及其相關因素探討。輔仁醫學期刊,11(3),205-214。  延伸查詢new window
2.賈如瓊、鄭淑英、張璇其、吳貞慧、黃瓊慧、張杏芬、楊淑玲、洪曉佩(20161200)。探討術前多媒體護理指導於腰椎麻醉病人焦慮之成效。榮總護理,33(4),332-343。new window  延伸查詢new window
3.蔡宜蓁、吳金璇、康琇菱、翁憶萍、羅雅馨、陳淑真、呂佩珍(20140600)。腫瘤個案管理師之進階照護角色與功能。長庚護理,25(2)=86,149-157。new window  延伸查詢new window
4.林雅翎、賴鴻文(2015)。乳房重建手術及術後照護。彰化護理,22(3),2-3。  延伸查詢new window
5.羅琦、廖芳姿、陳淑齡(20170400)。乳癌病人的症狀經驗。護理雜誌,64(2),19-27。new window  延伸查詢new window
6.施佳瑢、潘慧娟、陳繪竹(20161200)。一位復發性乳癌病人接受乳房重建手術之照護經驗。高雄護理雜誌,33(3),38-49。  延伸查詢new window
7.童婉惠、陳繪竹、潘慧娟(20180400)。一位未婚女性罹患乳癌併乳房自體重建手術之照護經驗。高雄護理雜誌,35(1),138-149。  延伸查詢new window
8.蕭福尹(20171000)。乳房重建概論。臨床醫學,80(4)=478,578-582。new window  延伸查詢new window
9.Fingeret, M. C.、Teo, I.、Epner, D. E.(2014)。Managing body image difficulties of adult cancer patients: Lessons from available research。Cancer,120(5),633-641。  new window
10.Syrowatka, A.、Motulsky, A.、Kurteva, S.、Hanley, J. A.、Dixon, W. G.、Meguerditchian, A. N.、Tamblyn, R.(2017)。Predictors of distress in female breast cancer survivors: A systematic review。Breast Cancer Research Treatment,165(2),229-245。  new window
研究報告
1.衛生福利部國民健康署(2019)。民國106年主要癌症死亡統計。  延伸查詢new window
圖書
1.李明瑱(2016)。乳癌康復新希望。台北市:健康世界。  延伸查詢new window
 
 
 
 
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