一位罹患直腸癌術後面臨初次血液透析病人之護理經驗

A nursing experience for a rectum cancer patient with the first time hemodialysis

10.29494/LN.201709_18(3).0007

陳亭璇(Ting-Shuan Chen)；張淑敏(Shu-Min Chang)；葉淑敏(Shu-Min Yeh)

血液透析 ； 直腸癌 ； 急性疼痛 ； 焦慮 ； hemodialysis ； rectum cancer ； acute pain ； anxiety

領導護理

18卷3期（2017 / 09 / 01）

74 - 84

繁體中文

本篇描述一位因罹患直腸癌術後，一年內又面臨初次血液透析病人的護理經驗。照護期間為2015年2月22日至3月16日止，藉由系統性觀察、會談與身體評估等方式，運用羅式適應模式為評估架構，確認個案主要健康問題為急性疼痛、焦慮及知識缺失。護理期間筆者與個案建立良好的信任關係、提供相關知識及照護技巧以及給予心理支持等護理措施，個案能減少疼痛與增進舒適、減少焦慮且坦然接受面對後續的透析治療及增加自我照顧的能力。藉由此個案的護理經驗提供護理人員照護參考，使個案能得到完善的照護。

This article describes a nursing experience of caring for a rectum cancer patient who received hemodialysis within one year after a rectal operation. The period of nursing care was from February 22 to March 16, 2015. Information was gathered through systematic observation, conversation, and physical assessment, with the Roy model as an assessment framework. Three major health problems were identified including acute pain, anxiety, and lack of knowledge in caring for oneself. The author built up a trusting relationship with the patient, provided mental support and informed related knowledge and care skills to reduce the patient's pain and discomfort. The measures also helped the patient reduce anxiety in facing the unexpected future, and improved their self-care ability. We hope that this nursing care experience can be used as a reference to other nurses when encountering similar cases in the future.

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