運用輔助液體敷料照顧一位頭頸癌病人之護理經驗

Nursing Experiences of Applying Oral Liquid Dressing for Caring a Patient with Head and Neck Cancer

10.6386/CGN.201806_29(2).0013

黃怡螢(Yi-Ying Huang)；劉雪娥(Hsueh-Erh Liu)

頭頸癌 ； 口腔黏膜液體敷料 ； 口腔黏膜炎 ； head and neck cancer ； oral liquid dressing ； oral mucositis

長庚護理

29卷2期（2018 / 06 / 01）

305 - 313

繁體中文

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.

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1. 廖怡雯(Yi-Wen Liao);黃惠珠(Hui-Chu Huang);白藍妮(Lan-Ni Pai);紀夙芬(Shu-Fen Chi);葉淑玲(Shu-Ling Yeh)(2023)。鼻咽癌病人接受同步化學治療及質子放射線治療之護理經驗。志為護理-慈濟護理雜誌。22(6)。88-98。