题名

一位胃癌末期病人臨終照護經驗

并列篇名

Nursing Experience of Caring a Gastric Cancer Patient in the Terminal Stage

作者

王伊岑(Yi-Tsen Wang);楊雪玲(Hsueh-Ling Yang);黃文聰(Wen-Tsung Huang)

关键词

噁心嘔吐 ; 疼痛 ; 善終 ; Nausea And Vomiting ; Pain ; Good Death

期刊名称

若瑟醫護雜誌

卷期/出版年月

16卷1期(2022 / 03 / 01)

页次

43 - 55

内容语文

繁體中文

中文摘要

本文探討一位胃癌末期病人之臨終照護經驗,護理期間自2018年02月15日至2018年03月11日止,運用全人照護模式以生理、心理社會、靈性層面為評估架構,藉由觀察、身體評估、直接照護及會談收集資料,照護過程中發現病人有「噁心、嘔吐/胃癌末期合併腸阻塞」、「疼痛」、「死亡焦慮/面對疾病末期的事實」等護理問題。照護過程中運用以病人為中心的照護方式,與病人及家屬建立信任關係,提供輔助性療法,如:芳香療法、穴位按壓、注意力轉移及引導病人及家屬四道人生,藉由陪伴、傾聽、同理、關懷方式及醫療團隊的共同合作下,有效降低病人對死亡的焦慮,達到病人及家屬安適的目的。藉由本報告我們分享運用靈性關懷及護病溝通的技巧,讓醫護人員釐清病人內心深處想法及敏銳發現病家需求,同時也讓團隊成員了解安寧照護的意義與本質。

英文摘要

This article explores the end-of-life nursing care experience of an advanced gastric patient. From February 15, 2018 to March 11, 2018, holistic health care model was used to evaluate the different domains of physical, psychological, social, and spiritual aspects of patient. Through observation, physical assessment, direct nursing care and interviews, we collected the essential clinical in for mation.During the hospitalization period, patient was noted to suffer from "bowel obstruction related nausea, vomiting ", "pain", "death anxiety/ facing the terminal stage situation".Using patient-centered care method, we first established the trust relationship between medical staff and patients and their families. We then provided complemen tarytherapies, such as aromatherapy, acupressure, attention shift, and guided patients and their families to express thanks, loves, apologizes, and said goodbye.Through accompanying, listening, empathizing,caring and the cooperation of the medical team, patient's death anxiety was reduced and comfort of the patient and their families were achieved. In this article, we share the skills of using spiritual care and communication to discover the deep thoughts of patients,and discover the needs of patients and her family. Team members also learn the meaning and essence of hospice care.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
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