| 题名 |
照顧一位行達文西手術切除胸腺瘤病人之手術全期護理 |
| 并列篇名 |
Perioperative Nursing Experience from Caring for a Patient Undergoing Da Vinci Robotic Resection for Removing Thymoma |
| DOI |
10.29494/LN.202112_22(4).0007 |
| 作者 |
李雪妍(Hsueh-Yen Li)；李怡燕(Yi-Yan Li)；楊曜蓮(Yao-Lian Yang)；葉惠玲(Hui-Ling Yeh) |
| 关键词 |
胸腺瘤 ； 重症肌無力 ； 達文西機械手術 ； 手術全期護理 ； thymoma ； myasthenia gravis ； Da Vinci robotic resection ； perioperative nursing experience |
| 期刊名称 |
領導護理 |
| 卷期/出版年月 |
22卷4期（2021 / 12 / 01） |
| 页次 |
87 - 101 |
| 内容语文 |
繁體中文 |
| 中文摘要 |
本文是敘述一位中年女性接受達文西機械手臂輔助切除胸腺瘤進而改善重症肌無力之手術全期護理，照護期間於2018年6月26日至2018年6月30日，筆者採用Gordon十一項功能性健康狀態評估架構，並藉由會談、身體評估、觀察、手術前後實際照護等方式收集資料，確認個案有手術前焦慮及身體心像紊亂、術中潛在危險性手術情境的傷害及術後傷口疼痛等問題。護理期間提供手術成功治癒率，提升個案對手術的認知進而降低焦慮。術中採用特殊臥位提供防護性安全措施，確保無潛在危險性手術情境的傷害，手術後期針對急性疼痛利用疼痛量表來評估疼痛的程度，教導緩解疼痛的方法，以獲得改善。此外出院後藉由電訪得知個案眼皮下垂、說話口齒不清、視力模糊等症狀有逐漸改善，個案也已走出社區與人接觸。期望藉由此手術成功之個案報告提供日後護理人員照護類似個案之經驗參考。 |
| 英文摘要 |
This article describes a perioperative nursing experience of caring a middle aged woman who went through Da Vinci's robotic surgery to assist thymoma resection to improve myasthenia gravis. During the nursing period from June 26th to 30^(th) in 2018, the author completed an integral assessment with the aid of 'Gordon's Eleven Functional Health Assessment Framework'. Data were collected through interviews, physical assessments, observation, and actual care before and after surgery. The major nursing issues identified include preoperative anxiety, disturbance of body and mental image, impairment from potentially dangerous surgical situations during surgery, and postoperative wound pain. During the nursing period, we provided the successful operation rate, improves the case's awareness of the operation to reduce anxiety. During the operation, a special lying position is applied to provide protective safety measures to ensure no injury occurred from potentially dangerous surgical situations. In the later stage of the operation, the pain scale is used to assess the degree of pain for acute pain and instruct methods to relieve pain for improvements. In addition, after discharged from the hospital, it was learned through telephone interviews that the patient had gradually overcome symptoms such as drooping eyelids, slurred speech, and blurred vision, and the case had also stepped out to the community to interact with people. It is hoped that this successful operation case report will provide as a reference to the nursing staff when taking care of similar cases in the future. |
| 主题分类 |
醫藥衛生 >
預防保健與衛生學 醫藥衛生 > 社會醫學 |
| 参考文献 |
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