一位成年中期雄性禿病人二次行植髮之手術全期護理經驗

Perioperative Nursing Experience of Caring for a Middle-Aged Adult Having Taken Hair Transplantation Surgery for the Second Time

郭佩芳(Pei-Fang Kuo)；鄭碧芬(Pi-Fen Cheng)；陳繪竹(Hui-Zhu Chen)；王婇帆(Tsai-Fan Wang)

雄性禿 ； 植髮 ； 手術全期 ； hair transplant ； male pattern baldness ； perioperative nursing

志為護理-慈濟護理雜誌

20卷6期（2021 / 12 / 01）

130 - 140

繁體中文

本文為探討一位成年中期尋求改變外觀接受兩次植髮手術個案的手術全期照護經驗，照護期間為2019年5月2日至2019年11月4日，運用身、心、社會和靈性層面，進行手術前、中、後整體性護理評估，確立個案有焦慮、急性疼痛及不確定感等健康問題。照護過程中，播放個案喜歡聽的日語歌曲緩解個案之焦慮；透過冰敷、以指腹輕輕按摩降低其疼痛感；於個案等待植入毛囊生長期間，長期陪伴回診與即時照護諮詢，降低其對植髮手術成效的不確定感。經由陪伴個案等候植髮結果過程中，建議制定一「植髮後居家照護常見問題與因應」衛教影片，讓個案能即時透過電子衛教影片，正確執行植髮居家照護，以提升日間手術個案之照護滿意度。

The paper explores the perioperative nursing experience of caring for a middle-aged adult who sought change in his appearance and received a hair transplant procedure two times. The researcher, considering physical, mental, social and spiritual aspects, made an overall nursing assessment of the patient's surgery and established that the patient had anxiety, acute pain and feeling of uncertainty. During the nursing process, the patient's favorite Japanese songs were played in order to relieve anxiety, and an ice pack and finger massage were provided in order to relieve pain. The patient needed to wait for new hair growth in transplanted hair follicles, So long-term companionship was provided each time he made a return visit to the doctor, which also gave him immediate care and consultation in order to reduce feelings of uncertainty towards the effectiveness of the hair transplant. We suggest making a health education video about ＂post-hair transplantation home care FAQs＂ so as to help similar patients' carry out home care correctly which may also improve the degree of satisfaction with the care of daytime surgery.

1. 吳尚蓉,陳維恭(2018)。急診肢體創傷疼痛的輔助療法。護理雜誌，65(4)，18-23。
   連結：
2. 黃千毓,王宏銘,洪崚育(2018)。非疤痕性脫落髮文獻回顧。北臺灣中醫醫學雜誌，10(2)，35-46。
   連結：
3. Feldman, R. S.,穆佩芬（譯）（校閱）(2018).實用人類發展學.臺北市:華杏.
4. Liu, F.,Miao, Y.,Li, X.,Qu, Q.,Liu, Y.,Li, K.,Feng, C.,Hu, Z.(2018).The relationship between self-esteem and hair transplantation satisfaction in male androgenetic alopecia patients.Journal of Cosmetic Dermatology,18(5),1441-1447.
5. Sarcu, D.,Adamson, P.(2017).Psychology of the facelift patient.Facial Plastic Surgery,33(3),252-259.
6. Wang, X.,Xiong, C.,Zhang, L.,Yang, B.,Wei, R.,Cui, L.,Xing, X.(2018).Psychological assessment in 355 Chinese college students with androgenetic alopecia.Medicine,97(31),1-4.
7. 朱怡瑾,劉曼盈,胡嘉桂,蘇家慧,陳姿蓉,陳俏潓,吳麗敏(2018)。不確定感之概念分析。高雄護理雜誌，35(2)，53-60。
8. 柳秋芳,鄭春秋(2018)。成人健康護理中生理及病理的層面。成人內外科護理，臺北市:
9. 黃耀立(2020)．沒“髮”度，最常見的禿髮症─ 雄性禿，取自https://www1.cgmh.org.tw/cosmetic/contents/medi15.htm
10. 劉向援(2018)。手術全期護理之原則。成人內外科護理，臺北市:
11. 劉如意(2017)。植髮拯救門面？理清三千煩惱絲。消費者報導雜誌，431，60-65。
12. 蔡仁雨,蔡呈芳,鐘文宏,詹融怡(2018)。臺灣男性雄性基因禿治療現況與最新發展。臺灣醫界，61(9)，24-28。