一位齒齦癌病患手術後期間照護之經驗

Nursing Experience of a Patient with Gum Cancer during Postoperative Period

本文探討一位齒齦癌病患接受手術後照護之經驗，於照護期間為2006年6月30日至7月22日，藉由直接照護、系統性會談、身體評估及觀察，以Orem理論中的自我照顧、自我照顧缺失理論，評估病患的問題，發現有口腔黏膜改變及吞嚥障礙等護理問題。藉著護理系統的三步驟：完全代償性、部分代償性、支持與教育性，階段性的提供個案支持與鼓勵，指導口腔護理及吞嚥技巧，以期提升個案自我照顧能力，期望藉此護理經驗之分享，能提供臨床護理人員照顧此類病患之參考。

This case study reported the nursing experience of a patient with gum cancer during postoperative period. The caring period was from June 30 to July 22, 2006. The Orem’s self-care and self-care deficit theory was used to assess nursing problems through direct care, systematic interview, physical examination, and observation. The nursing problems identified included altered oral mucous membrane and impaired swallowing. Support, education, partial compensation, and completely compensation were provided to improve patient’s mouth care, swallow skill, and ability of self-care. This experience provided nursing staff with a reference for caring similar patients in the future.