一位新婚婦女行根除性子宮頸切除的護理經驗

Nursing Experience While Treating a Newly Wed Woman Who Has Accepted a Radical Cervicectomy

本文是照顧一位43歲新婚婦女，在結婚前夕發現子宮頸癌第一期，為保留生育能力，行根除性子宮頸切除手術前後之護理經驗。護理期間自94年3月28日至4月23日；94年4月27日至5月4日；94年5月24日至5月27日。筆者為主護護士，於住院期間藉由會談、收集病史、觀察行為反應及出院後的電訪收集資料，並運用羅式適應模式評估，確立個案之主要護理問題為（1）焦慮（2）排尿型態改變（3）知識不足（4）性行為型態改變。針對個案擬定個別性護理計劃，協助個案面對手術的焦慮，修正錯誤的性知識觀念，幫助她作自我統整，使其負面心理及情緒反應降到最低並順利完成化學治療。將此護理經驗提出分享，期望能提供同仁臨床照顧之參考。

This article reports nursing experience while treating a woman who was newly wed and had cervical cancer at stage I. She accepted a radical cervicectomy to preserve her childbearing ability. The author was the primary nurse. The nursing period covered from March 28 to April 23, from April 27 to May 4 and from May 24 to May 27, 2005. Roy’s Adaptation Nursing Model was used to assess the patient's health problems. The main problems found were anxiety, urination (alterations in the pattern), a partial lack of knowledge and alteration in the patient's sexuality. The patient was interviewed, her behavior during the hospital stay observed and all relevant data collected. In addition, the patient was interviewed by telephone after discharged from the hospital. This case report offers others our experience of the application of individual nursing intervention when helping patients to face anxiety about this operation, indicates the approaches used to correct her inaccurate sex knowledge, shows how re-construction of her ego identity was developed, describes how lowering of her negative emotions was brought about and shows how she was persuaded to complete the chemotherapy courses.