一位行子宮頸圓錐狀切除手術個案的手術全期護理

The Perioperative Nursing Care for an Outpatient with Cervical Conization

10.6974/TCNJ.201104.0100

王光珊(Kaung-Shan Wang)；李麗珠(Li-Chu Lee)；羅筱芬(Hsiao-Fen Lo)

門診手術 ； 手術全期護理 ； 子宮頸圓錐切除術 ； OPD surgery ； perioperative nursing ； cervical conization

志為護理-慈濟護理雜誌

10卷2期（2011 / 04 / 01）

100 - 109

繁體中文

本文描述照護一位接受圓錐狀切除的子宮頸上皮內贅瘤個案之手術全期護理經驗，護理期間爲2008年12月8日至10日。筆者以手術全期照護模式爲基礎，進行個案健康問題的評估與護理。手術前期個案的主要健康問題包括手術相關認知缺失及陌生情境所致的焦慮；手術中期因手術及使用治療所需設備而出現潛在危險性傷害；手術後期則是術後自我照顧知識缺失等。透過主動關懷、傾聽、全程陪伴與照護，並依手術分期給予說明與護理照護，有效減輕個案手術前中後的焦慮及提升術後自我照顧的能力。

This report illustrated the perioperative nursing care for an out-patient with cervical conization via OPD surgical procedure. The nursing period was from December 8(superscript th) to 10(superscript th), 2008. The major health problems of the patient were analyzed and stated in relation to her operation phases: during the preoperative phase, the patient suffered from anxiety derived from lack of knowledge and experience regarding the operation; during the intraoperative phase, the patient faced the risks of injury from the operative procedure and equipments which may be life threatening; finally, in the postoperative phase, the patient experienced deficiency in the knowledge of self-care. Based on these assessments, the RN successfully provided an individualized and appropriated care plan to support the patient to experience a safe and contented surgical treatment and nursing care.