降低兒科病童週邊靜脈輸液導管阻塞率

Reducing the Occlusion Rate of Peripheral Intravenous Catheters in a Pediatric Ward

探討一位56歲已婚且未生育婦女，經診斷為卵巢癌第3期，行減癌手術（Debulking surgery），恢復身體功能運作，同時，運用正向能量輔導病人面對治療的護理經驗。護理期間為2013年2月15日至3月12日，運用Gordon11項功能評估及配合Meleis過渡理論，透過觀察和會談收集資料，發現個案有：一、焦慮：疾病手術前後照護及後續治療；二、急性疼痛：手術傷口及管路留置；三、身體心像紊亂：切除女性器官及化學治療副作用。護理期間，應用傾聽、不批判與個案及家屬建立信任關係，提供手術前後護理指導，積極處理因手術產生焦慮，運用過渡理論，協助個案及家屬渡過疾病治療過程，建立自信面對後續治療。

This article describes a woman diagnosed with stage III ovarian cancer who recovered from the illness by undergoing debulking surgery and by accepting subsequent chemotherapy with a positive attitude, thereby improving the progression-free survival rate. The period of this nursing care was from February 15, 2013 to March 12, 2013. The author collected the patient's information through clinical observation and discussion, and evaluated the patient by using Gordon's 11 Functional Health Patterns Assessment and Meleis' theory of transitions. The patient's primary clinical problems were as follows: 1. Anxiety about nursing care before and after the operation, 2. acute pain from the operation and indwelling drainage catheters, and 3. body image disturbance caused by the lack of female genital organs. By listening to the patient and her family without criticizing the patient, and by developing a trusting relationship with the family members, the author provided health education related to the operation, reduced the patient's anxiety, helped her and her family throughout the course of the disease treatment, and improved her self-confidence regarding further therapy.