照顧一位惡性脈絡膜黑色素瘤合併多處轉移病患之護理經驗

Nursing Experience of a Choroid Melanoma Patient with Multiple Metastasis

本篇個案報告為照顧一位惡性脈絡膜黑色素瘤合併多處轉移病患之護理經驗，護理期間自93年1月14至93年1月22日，探討個案因被診斷為惡性脈絡膜黑色素瘤合併全身多處轉移而產生無望感以及癌症本身、治療引起之身體不適，經由觀察、會談與個案及家屬互動來收集資料，並以Gordon十一項健康功能型態評估分析歸納個案有三個主要的護理問題，包括無望感、活動無耐力、體溫過高。護理的重點在於協助個案重新調整生活目標及維持身心舒適，針對此提供適切及完善的護理措施，使個案身心不適之症狀能獲得改善，協助其渡過整個疾病過程，並藉此個案報告的護理經驗提出與護理人員分享，以助提升照護此類病患的品質。

This case report described a nursing experience of a patient with choroid melanoma combining multiple metastasis, which induced hopelessness and body discomfort caused by cancer itself or treatment. During the caring period from January 14 to January 22, 2004, the observation, interview, interaction, and the Gordon 11-item Functional Health Pattern were used to assess the patient’s health problems. The findings included hopelessness, activity intolerance, and hyperthermia. The key point of nursing care was to help patient to adjust the goal of life and maintain physical and psychological comfort. Individualized and comprehensive nursing interventions were provided to improve his physical and psychological symptoms, and help him to adjust the process of disease. This report can serve as a reference for planning the nursing care for similar patients in the future.