照護一位未婚行子宮切除女性之經驗

The Nursing Experience of a Single Female Case with Received for Hysterectomy

10.29494/LN.200706.0008

楊素琴；吳淑芬；傅家芸

未婚 ； 子宮切除 ； 焦慮 ； 身體心像紊亂 ； single femle ； hysterectomy ； anxiety ； body image disturbance

領導護理

8卷1期（2007 / 06 / 01）

78 - 86

繁體中文

本案報告是護理一位32歲未婚女性，因患子宮肌腺瘤，行子宮切除的護理經驗。照護期間爲民國94年6月29日至7月25日，筆者於個案照護期間運用羅式適應模式及手術全期護理，以參與照護、會談、家訪及電話訪談收集資料之後，經由分析歸納出焦慮、潛在危險性損傷、身體心像紊亂、性生活型態改變等護理問題。藉由筆者的護理措施提供整體性、連續性的評估與照顧，協助個案接受身體結構功能的改變、維持正向的身體心像及建立其自信心。期盼藉此臨床經驗之分享，提供護理人員照護相關個案時之認識與了解。

This article reported the nursing experience of a 32 years old single female with adenomyosis who receive nursing d care in June 2005 for hysterectomy. Data was collected by ”Roy's adaptation model” through participant care, counseling, home visiting and telephone interview. Results showed that the patient had post-surgery problems such as anxiety, risk for injury perioperative positioning, body image disturbance, and change of sexual behavior. After implementing proper nursing processes with total and continuous evaluation and care, the patient was able to improve her body function alteration acceptance, maintain positive physical-mind image and re-build her self-confidence. We hope the information provided in this article will furnish other nursing team would like to provide better care for patients of hysterectomy in the future.