照護一位初次罹患膽管癌病人面臨預期性哀傷之護理經驗

Nursing experience of caring for a first diagnosed patient of cholangiocarcinoma with Anticipatory Grief

10.29494/LN.202103_22(1).0007

蘇佳萍(Chia-Ping Su)；陳芝文(Chih-Wen Chen)

膽管癌 ； 預期性哀傷 ； 護理經驗 ； cholangiocarcinoma ； anticipatory grief ； nursing care

領導護理

22卷1期（2021 / 03 / 01）

84 - 98

繁體中文

本篇報告是照護一位初次罹患膽管癌的病人，在確定自己診斷為癌症後，覺得自己離死亡很近，產生害怕及失落之情緒。護理期間為2018年5月18日至2018年6月6日，筆者以觀察、會談、查閱病歷收集資料，並藉由Gordon十一項健康型態功能進行評估，確立個案有疼痛、焦慮、預期性哀傷三項健康問題。在護理過程中，筆者以主動關懷及同理心為出發點，鼓勵病人表達內心的擔憂，幫助病人面對失落感受。經由懷舊治療及生命回顧降低死亡恐懼及減少負向情緒，運用傾聽及陪伴，肯定病人的一生與成就，引導病人及家屬彼此表達情感，協助病人及家屬面對、接受疾病及面臨死亡的哀傷，幫助病人及家屬走出哀傷過程，以順利配合後續治療計劃，重拾有意義的人生及維持生活品質。

This article examines the nursing experience of cholangiocarcinoma first was diagnosed. After confirming that he is diagnosed with cancer, he feels that he is close to death and has feelings of fear and loss. During the nursing period from May 18 to June 6, 2018. The author collects information through observation, interviews, and medical records, and Gordon's 11 functional health patterns were used to assess the patient's nursing needs. It confirmed the patient of three health problems of pain, anxiety, and anticipatory grief. In the process of nursing, the author takes active care and empathy as the starting point, encourages patients to express their inner concerns and helps patients face the feeling of loss. Reduce fear of death and reduce negative emotions through nostalgic treatment and life review. Use listening and companionship to affirm the patient's life and achievements, guide patients and their families to express their feelings, and help patients and their families face and accept diseases and face sorrow. Help patients and their families to go out of the grief process to successfully cooperate with follow-up treatment plans, regain meaningful life and maintain quality of life.

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