卵巢癌婦女接受化學治療之護理指導

The Nursing Interventions in the Ovarian Cancer Women Receiving Chemotherapy

10.30167/JOIT.200806.0016

林淑娥(Shu-Erh Lin)；蘇燦煑(Tsann-Juu Su)

卵巢癌 ； 化學治療 ； 護理指導 ； ovarian cancer ； chemotherapy ； nursing intervention

亞東學報

28期（2008 / 06 / 01）

105 - 112

繁體中文

婦女卵巢癌的發生率約爲1.4~1.8%，然而卻是婦女癌症中致死率最高的｡卵巢癌患者只有30%其癌細胞侷限在卵巢，有機會可以根治，而70%的卵巢癌患者在發現時，已屬晚期｡早期治療以手術切除爲主，並依疾病的分期，給予輔助性化學治療，晚期卵巢癌則以化學治療爲主。化學治療後，患者會有噁心、嘔吐、食慾不症、脫髮、腹瀉、便祕、末梢神經麻、骨隨功能受抑制、疲倦及腎功能受損等副作用。護理人員對卵巢癌患者接受化學治療的護理指導包括：(1)協助病人認識及渡過治療過程、(2)增加病人自我照顧能力及(3)提供與教導化學治療副作用之處理，以減輕其不適症狀及提升生活品質。

The incidence of ovary cancer is 1.4~1.8%。However, it is the most mortality rate in the women cancers. Only 30% of ovary cancer women whose cancer cells are limited in the ovary, and they have the better chance for cure. But, 70% of ovary cancer women who are belong to the late stage of cancer. The patients will be taken operating in their early stage of cancer and received chemotherapy as following their need. The patients will be received chemotherapy in their later stage of cancer. Chemotherapy will induce some complications include nausea, vomiting, poor appetite, losing hair, diarrhea, constipation, fatigues, and damage in renal function. The nursing interventions include performing nursing role of proving information for patients and their families, preserve the human right for the patients, and proving professional nursing for the patients. The nurses also need to provide nursing care in releasing side effects of chemotherapy for the patients.

1. Almadrones, L. A.(2003).Treatment advances in ovarian cancer.Cancer Nursing,26(6),16-20.
2. American Cancer Society ACS、林素琴譯、林麗英譯、顏芳慧譯、蘇婉麗譯(2007)。癌症護理。台北:五南。
3. Breedlove, G.,Busenhart, C(2005).Screening and detection of ovarian cancer.Midwifery & Women's Health,50(1),51-54.
4. Connie, H. Y.,Margaret, H. F.,Michelle, G..Cancer nursing: principles and practice 2005.
5. Donovan, H. S.,Hartenbach, E. M.,Method, M. W(2005).Patient-provider communication and perceived control for women experiencing multiple symptoms associated with Ovarian cancer.Gynecologic Oncology,99(2),401-411.
6. Edwards, S. J.,Edwards, S. J.(2003).Prevention and treatment of adverse effects related to chemotherapy for recurrent ovarian cancer.Seminars in Oncology Nursing,19(3),19-39.
7. Gaetano, C. D.,Lichtman, S. M.(2004).Care of elderly women with ovarian cancer.Geriatric Nursing,25(6),329-335.
8. Gordon, A. N.,Butler, J.(2003).Chemotherapeutic management of advanced ovarian cancer.Seminars In Oncology Nursing,19(3),3-18.
9. Lev, E. L.,Daley, K. M.,Conner, N. E.,Reith, M.,Fernandez, C.,Owen, S.V.(2001).An intervention to increase quality of life and self-efficacy and decrease symptoms in breast cancer patients.Scholarly Inquiry for Nursing Practice,15(3),277-294.
10. Martin(2005).Straight talk about ovarian cancer.The Journal of Nursing,35(4),36-41.
11. Ruth, M. C.,Jeannie, P.,Tang, S. T.(2003).The silent Killer.The Holistic Nursing Practice,17(6),300-309.
12. 王書緯(2002)。卵巢癌化學治療之近況。臨床醫學，2，105-120。
13. 田聖芳、馮容莊編著、蔣美蘭編著、方郁文編著、湯玉英編著、祁安美編著、林麗珠編著(2007)。實用婦科護理。台北:華都。
14. 衛生統計資訊網
15. 胡淑媛(2000)。高雄，高雄醫學大學公共衛生學研究所。
16. 張正昌、賴鴻政、余慕賢、朱堂元(2002)。腫瘤組織庫中卵巢癌137例之臨床分析。中華民國婦癌醫學雜誌，4，7-11。
17. 黃思誠(1998)。婦科腫瘤。台北:華香園。
18. 卵巢癌
19. 婦科化學治療藥物及其副作用
20. 顏兆熊、余慕賢(2007)。卵巢癌。當代醫學，26，361-366。

1. 謝綿、謝春滿、曾瑞慧(2016)。提升腫瘤病人化學治療護理指導成效之專案。長庚護理，27(4)，547-558。