一位子宮頸癌病患之護理經驗

Experience of Caring for a Patient with Cervical Carcinoma

本文乃是協助一位36歲罹患子宮頸癌婦女在經歷了休克、否認、憤怒、磋商、憂鬱、接受等過程之護理經驗。於住院期間利用參與式觀察方法，收集個案語言、非語言行為及以Gordon十一項功能性健康型態評估為依據，確立其護理問題優先順序為焦慮、高危險性感染、性行為型態改變。透過良好的治療性關係建立，提供個案疾病本身、放射治療護理等資料，筆者更加強本身在癌症患者的心理及性問題層面上知識，並實際運用，提供個案整體性照護，幫助其減少否認、憤怒之負面情緒，進而努力學習吸收知識，完成治療，並能主動提出疑問尋求解答之護理過程，僅將此護理經驗以護理過程方式呈現，期能將此經驗分享，並提供護理人員應用參考，而能以最完整且適切之護理計劃協助類似病患早日度過憂傷期，勇敢接受治療。

This case study focused on the nursing experience of caring for a 36 year-old woman who had cervical carcinoma and experienced the emotions of shock, denial, anger, depression, and acceptance. Participatory observation was used to collect data which included both verbal responses and non-verbal behaviors. Gordon's functional evaluation of health conditions was used to guide data collection. Results showed three priority problems-anxiety, latent contraction, and changes in sexual behavior. By building a therapeutic relationship with the patient and providing her with information related to her disease and chemotherapy, the patient gained knowledge about psychological and sexual problems associated with cervical cancer. Comprehensive care reduced the patient's anger and negative emotions. She was able to focus on obtaining new knowledge about therapy sessions and actively raise questions during nursing care. Findings suggest that appropriate planning and nursing care can help cervical cancer patients deal with anxiety sooner and receive treatment with less trepidation.