一位鼻咽癌病患在治療期生理、心理問題及因應行為之探討

Psychophysiologic Problems and Adjusting Behaviors for a Patient with Nasopharyngeal Carcinoma during Therapy

本個案報告係一位鼻咽癌患者在治療期生理、心理問題及因應行為之探討。筆者於民國90年4月30日至民國90年7月6日，以會談、觀察、傾聽等技巧收集資料，將實際護理寫成13篇行為過程實錄，發現個案在治療期生理方面有：疼痛、噁心嘔吐、食慾不振；心理方面有：害怕熬不過、無望感、無力感，而因應行為方面，以情緒為主：憤怒、認命、磋商；以問題為主：尋求更多的資訊、尋求宗教支持、尋求社會支持系統。患者在接受前期時，來自同樣是鼻咽癌患者的告知，親朋好友的支持，以及筆者文獻的給予和分析，使患者最後抱有希望感，而不再自哀自憐。

This case study reports the psychophysiologic problems and adjusting behaviors for a patient with nasopharyngeal carcinoma during therapy. From April 30, 2001 to July 6, 2001, interviews and observation and listening techniques were used to collect data and complete thirteen detailed records from a patient after she was informed she had nasopharyngeal carcinoma. Findings were as follows. From a physical perspective, the patient felt pain, nausea, vomiting, and had no appetite. From a psychological perspective, she feared dying, and experienced hopelessness and weakness. Adjusting behaviors included dealing with the emotion of anger and feelings of fate, negotiation, searching for more information and more social supports. During the initial hospitalization, the patient obtained information from same diagnosed patients and received support from friends and relatives, and information from the author. These interventions helped reduce her feelings of sadness and emptiness.