運用個案管理模式照護一位接受根除性手術之攝護腺癌病人

陳淑妍; 黃士滋

doi:10.6540/NTJN.201903_21(1).0008

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P87 - 96

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6540/NTJN

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运用个案管理模式照护一位接受根除性手术之摄护腺癌病人

Applying a Case Management Model to Care a Prostate Cancer Patient Receiving Radical Prostatectomy

陈淑妍(Shu-Yen Chen) ；黄士滋(Shih-Tzu Huang)

新台北护理期刊； 21 卷 1 期 (2019 / 03 / 01) ， P87 - 96

繁体中文 DOI： 10.6540/NTJN.201903_21(1).0008

摄护腺癌；个案管理；根除性手术；尿失禁； prostate cancer ； case management ； radical prostatectomy ； incontinence

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摘要 │ 参考文献 (18) │ 国际计量

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The case management model is used to assist the patient who was diagnosed as prostate cancer in clinics to face the impacts of illness and treatment, and to provide continuous care during the journey. As soon as the patient was diagnosed, the case manager contacted with the patient, and assisted the patient during hospitalization as well as after discharge. From November 18th, 2014 to January 15th, 2015, the study applied the Roy's adaptation model, as well as observation, physical assessment, face to face interviews, and telephone interviews to collect information in order to provide continuous, consistent, and holistic care in the clinics during hospitalization and after discharge. The main health problem was the anxiety before the surgery, and there were urgent urinary incontinence and disturbed body image during postoperative hospitalization and after discharge. As soon as the patient was diagnosed in clinics, the case manager helped him deal with the extreme fear and helplessness for facing prostate cancer, as well as all the concerns for disease and treatments by immediately providing relevant information and caring the patient empathically. At the same time, the professional team had a meeting with the patient and families before surgery to reach a consensus for the disease and treatment. The case manager introduced another prostate patient to share his successful experience sharing with the patient before treatment, and this patient was referred to counselors according to patient's needs. Finally, he was able to overcome the anxiety for illness and treatment before surgery. After surgery, for the problems of incontinence and disturbed in body image during hospitalization and after discharge, the author also taught this patient how to do Kegel's exercise and how to write urinary diary in addition to providing information and caring. Finally, the patient could adapt smoothly for the problems after surgery. We suggest that health professional could apply the case management model to provide continuing consultation and integrity care when they care prostate cancer patients.

参考文献 ( 18 ) 〈TOP〉

Albaugh, J. A.(2010).Addressing and managing erectile dysfunction after prostatectomy for prostate cancer.Urologic Nursing,30(3),167.
Serda, B. C.,Marcos-Gragera, R.(2014).Urinary incontinence and Prostatecancer:a progressive rehabilitation programdesign.Rehabilitation Nursing,39(6),271-280.
Steineck, G.,Bjartell, A.,Hugosson, J.,Axen, E.,Carlsson, S.,Stranne, J.,Wiklund, P.(2015).Degree of preservation of the neurovascular Bundles during radical prostatectomy and urinary continence 1 year after surgery.European Urology,67(3),559-568.
江博晖,李伟嘉,王弘仁,余灿荣,方富民,宋明泽,林威宇(2010).熟男杀手：摄护腺癌你必须知道的事.台北市:合记.
宋怡瑢,林丽英,宋素真(2005)。一位行根治性摄护腺切除手术患者的护理经验。高雄护理杂志，22(1)，63-78。

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