應用人形圖與關懷理論於一位口腔癌末期病人之護理經驗

The Nursing Experience of Applying Humanoid Diagram and Caring Theory With a Terminal Oral Cancer Patient

蕭鳳佳(Feng-Chia Hsiao)；呂麗戎(Li-Jung Lu)；黃秋玲(Chiu-Ling Huang)

人形圖 ； 關懷理論 ； 口腔癌末期 ； caring theory ； humanoid diagram ； terminal oral cancer

志為護理-慈濟護理雜誌

22卷5期（2023 / 10 / 01）

113 - 122

繁體中文;英文

本文探討一位末期口腔癌復發合併惡性蕈狀傷口之個案，面對身上多重管路、蕈狀傷口惡化，及案子即將外出工作而產生分離焦慮之護理經驗。照顧期間為2020年7月16日至7月30日。本文筆者初次運用人形圖，主要目的是想透過畫圖過程促進自己的組織能力，短時間能聚焦病人所面對的情境，藉由身體評估、病歷查閱、FIFE訪談收集資料，確立個案有慢性疼痛、照顧者角色緊張、焦慮等健康問題。筆者運用Swanson關懷理論於護理過程，提供個別性照護協助個案接受案妻的照護。建議未來能運用於跨團隊的討論會，讓參與討論的成員能透過鮮明的圖像，進而提供病人所期待的醫療照護。

This paper discusses a nursing care experience of a terminal oral cancer patient with malignant fungating wounds recurrence. The patient had to cope with multiple catheters in his body, experienced progressive fungating wound deterioration, along with separation anxiety caused by his son's departure for work, the nursing care period was from 16 July to 30 July 2020. The author used the humanoid diagram for the first time in the nursing process, which helped promote personal organizational skills and provide patient-centered medical care. By using physical assessment, review of medical records, and data collection through observation and FIFE interviews, the author found that the patient had chronic pain, caregiver stress, anxiety and other health issues. Using the elements of Swanson caring care, the author was helped to provide individualized care and to assist the patient in accepting the care from his wife. It is suggested that the humanoid diagram can be used in cross-team discussions in the hospital in the future as it allows teams to have more consensus on individualized care and promote a more family-centered model.

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