照顧一位子宮頸癌末期病人照護經驗

A Nursing Experience of a Terminal Cervical Cancer Patient

劉宜盈(Yi-Ying Liu)；楊雪玲(Hsueh-Ling Yang)；陳尚文(Shang-Wen Chen)；王心潔(Hsin-Chieh Wang)

子宮頸癌 ； 疼痛 ； 傷口照護 ； 死亡焦慮 ； cervical cancer ； death anxiety ； pain ； wound care

志為護理-慈濟護理雜誌

16卷6期（2017 / 12 / 01）

94 - 105

繁體中文

本文探討一位婦女罹患子宮頸末期之臨終照護經驗，筆者護理期間2014年5月31日至2014年6月25日，運用身體評估、觀察以及會談方式收集資料，發現病人因腫瘤壓迫引起的疼痛，以及因傷口變化感到自卑及面臨死亡而產生焦慮。期間運用團隊專家(疼痛科、傷口護理師、社工、心理師、宗教師等)意見，多次會談整合病人及家屬不確定感及情感脈絡適時介入肯定生命意義等護理措施，以達到病人身、心、靈安適；對於病人面對死亡焦慮時，透過宗教力量和團隊適時介入引導四道人生，在家屬全程陪伴下，病人走向死亡時能感到身體安適、心裡平安，盼此次經驗分享能運用於日後照護之參考。

The article described a terminal nursing experience of a female patient suffering from terminal cervical cancer. The nursing period lasted from May 31 to June 25, 2014. Data were collected by physical assessment, observation, and interview. The patient was identified with tumor-induced pain, low self-esteem from wound alteration, and death anxiety. During the nursing period, by integrating opinions from a interdisciplinary team (pain physician, wound care nurse, social worker, psychologist, spiritual care worker), as well as sense of uncertainty and emotional context of the patient and family members, timely nursing interventions were implemented to guide the patient in recognizing the meaning of life, and assist the patient in achieving physiological, psychological, and spiritual comfort. When accompanying the patient in facing death anxiety, a timely religious and interdisciplinary interventions were introduced four themes of life (gratitude, apology, love, and farewell) With the company of the family members throughout the nursing period, the patient was able to achieve physical and psychological comfort as she approached the end of her life. We hope this experience can serve as a future nursing reference.

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