照顧一位女性舌癌病人之護理經驗

A Nursing Experience of Caring a Female Patient with Tongue Cancer

10.6386/CGN.202306_34(2).0008

王翊芳(Yi-Fang Wang)；謝春金(Chun-Chin Hsieh)；黃怡純(Yi-Chun Huang)；林美惠(Mei-Hui Lin)

舌癌 ； 口腔黏膜障礙 ； 身體心像紊亂 ； tongue cancer ； oral mucosal dysfunction ； body image disorder

長庚護理

34卷2期（2023 / 06 / 01）

89 - 99

繁體中文;英文

本文探討一位女性舌癌病人接受化學及放射線治療之護理經驗。照護期間於2018年5月6日至5月28日，以Gordon十一項功能性健康型態為評估架構，確立個案有疼痛、口腔黏膜障礙及身體心像紊亂等健康問題。護理過程中，藉由持續性的關懷與個案建立良好的護病關係，提供個別性護理措施，教導飯前口含冰塊，穿著棉質寬鬆及圓領的衣服，運用薰衣草精油按摩，以減緩疼痛；透過癌症照護團隊之會議討論，應用護理專業，提供口腔黏膜炎的照護，促進傷口的修護及提升自我照護能力；經由傾聽與鼓勵個案參與病友關懷團體，協助以正向觀點面對疾病過程，使其持續完成治療。在照護過程中，筆者不斷地與各領域的專業人員討論，在跨團隊整合照護及溝通技巧上有很大的收穫。因此，建議除了學習臨床照護知識外，也能夠參與不同領域之跨團隊會議。期望藉此個案的照護經驗分享，提供臨床舌癌個案接受化學及放射線治療之參考。

This article presents the nursing experience in providing care to a female patient with tongue cancer undergoing chemical and radiotherapy. The nursing care period spanned from May 6 to May 28, 2018. The patient's major health problems, including pain, oral mucosal disorders, and body image disorder, were evaluated using Gordon's 11 Functional Health Patterns. Throughout the care process, a strong nurse-patient relationship was established through continuous, individualized care. Various measures were employed, such as teaching the patient to use ice cubes, wearing loose and round neck clothes, and utilizing lavender essential oil massage to alleviate pain. Moreover, the nursing profession collaborated with the cancer care team to provide oral mucositis care, promote wound repair, and enhance self-care abilities. Encouragement and active participation in patient care groups were encouraged to foster a positive outlook while facing the disease. Throughout the care process, the author collaborated extensively with professionals from different fields, gaining valuable insights into integrating care and effective communication across interdisciplinary teams. Therefore, the article recommends that nursing professionals not only focus on clinical care knowledge but also actively participate in cross-team meetings in diverse fields. The intention of this article is to share the nursing experience of this particular case and offer valuable insights to healthcare providers caring for tongue cancer patients receiving chemical and radiotherapy.

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