運用輔助療法照顧一位初次罹患腦癌病人之護理經驗

Using Complementary Therapy With a Initially Diagnosed of Brain Tumor

羅月暄(Yueh-Hsuan Lo)；郭佳慧(Chia-Hui Kuo)

急性疼痛 ； 身體活動功能障礙 ； 焦慮 ； 輔助療法評估 ； Acnte pain ； Impaired physicae mobility ； Anxiety ； Complementary Therapy

嘉基護理

19卷1期（2019 / 06 / 01）

40 - 51

繁體中文

本文描述一位初次診斷腦癌病人從等待病理檢查報告到接受疾病，進而接受手術治療，筆者於照護期間自2018年2月13日～2018年3月6日，運用Gordon十一項健康功能型態為評估工具，透過訪談、觀察、傾聽及身體評估來收集資料，發現個案有「焦慮／與疾病不瞭解有關」、「疼痛／與術後傷口有關」及「肢體活動功能障礙／因腫瘤壓迫致肌肉力量不足」，以主動關懷、同理心及接受等支持技巧與個案建立良好護病關係，面對初次罹癌之焦慮，給予心理支持並引導其情緒抒發，護理問題。護理過程中，筆者運用主動關懷與個案建立信任護病關係，運用輔助療法，包括：音樂療法、芳香療法及精油按摩等方式改善個案的身、心問題，讓個案學習自我釋放壓力，並鼓勵表達感受，且適應因疾病所造成的生活改變，使個案能以正向的態度面對疾病的衝擊，希望藉此篇個案報告以提供護理人員照顧類似病人之參考，以提升護理品質。建議未來癌症病人可以輔助療法照護，筆者冀望藉此護理經驗，能提供作為日後照顧類似病人之參考。

This article described a newly diagnosed Brain cancer patient who experienced to waiting for the pathology, to accepting the disease, and then having to have an operation. The period of nursing care was from February 13 to March 26, 2017. Using the Gordon 11 healthy functional patterns as an assessment tool, information was collected through interviews, observations, attentive listening and physical examinations. Three health issues were identified: ＂anxiety/ related to disease condition＂, ＂pain/ related to surgical wound＂ and ＂readiness for enhanced knowledge/ related to home self-care＂. During the nursing process, the author provided caring and established a helping-trust relationship. The author applied a complementary therapy program including music therapy, aromatherapy and massage with essential oil to improve the patient's physical and mental states. Through these approaches, the patient learned to release stress, and to express his feelings, so that he could adapt to his current life, changed as it was by the illnesses, and face the impact of those illnesses with a positive attitude. The author would like to share this case report to provide nursing professionals with a source of reference for healthcare quality improvement.

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