應用形塑和角色模範理論於一位胃癌接受全胃切除手術病人之護理經驗

A Nursing Experience of Using Modeling and Role Modeling Theory in a Total Gastrectomy Patient

10.6974/TCNJ.201104.0120

陳淑華(Shu-Hua Chen)；謝秀芳(Hsiu-Fang Hsieh)

形塑和角色模範 ； 傾食症候群 ； 生命意義 ； modeling and role modeling ； dumping syndrome ； meaning in life

志為護理-慈濟護理雜誌

10卷2期（2011 / 04 / 01）

120 - 128

繁體中文

本文描述照顧一位胃癌接受全胃切除手術病人之護理經驗，在2009年2月1日至5月15日之護理期間，經筆者以形塑和角色模範(MRM)理論爲架構，並以MRM理論所建議的Maslow人類需求理論做爲評估工具，透過觀察、會談等方法收集生理、心理、認知、社會的資料，依照個體需求提供個別性的護理措施。確認病人的健康問題包括營養狀態少於身體需要及無生命意義，在MRM理論的引導下，護理措施的目標強調與病人建立信任關係，協助病人確認和增進力量以促使正向適應，促進病人自我察覺和控制感，增強病人長處與優點，以及與病人設定共同的健康目標等。照護過程中運用漸進肌肉放鬆法及飲食計劃，改善傾食症候群問題，並透過意義療法，協助病人找到生命意義。期望透過此理論引導護理的經驗，提供護理人員日後照護病人之參考

This nursing care experience described a 53 years old female patient, who was diagnosed with gastric cancer, after going through a total gastrectomy. From Feb 1(superscript st) to May 15(superscript th) 2009, nursing care was provided based on the theory of modeling and role modeling. After collecting data through observations and interviews, it was identified that this patient suffered from nutrition problem and no meaning of life. The aims of nursing intervention were to build trusting relationship, promote positive orientation, control, and strengths, and set mutual goals with the patient. The nurse used progressive muscle relaxation, diet plan, and logotherapy to improve her dumping syndrome and to help her finding her meaning of life. It is expected other nurses can learn through this theory-based nursing experience.