照顧一位口腔癌患者術後於加護病房的護理經驗

The Nursing Experience of an Oral Cancer Patient in an Intensive Care Unit After Surgery

本個案報告是探討一位罹患口腔癌病患面臨疾病及手術衝擊之護理經驗。護理期間自96年8月10日至8月15日，筆者經由直接照護、觀察、筆談等方式，並運用生理、心理、社會、靈性四大層面為評估指引，確立病患的護理問題為疼痛、潛在危險性感染及焦慮。針對其健康問題，筆者給予適當之護理措施外，並針對所產生的焦慮感教導放鬆技巧，降低個案對治療過程的害怕及緊張度，且藉適時的關懷及給予正向的鼓勵，協助患者及家屬面對及調適其感受與困擾，使個案學習自我照顧，並鼓勵家屬參與照護計畫，使個案能接受積極的治療，並獲得最佳身心的適應。

I report on the nursing experience of a male oral cancer patient who was being cared for in the intensive care unit from August 8th to 15th, 2007 after surgery. Data was collected by means of direct observation of the patient and directed conversation. Physical, mental, social and spiritual assessments were used to identify problems in the nursing process. The results found that the patient had acute pain, risk of infection and anxiety. Nursing intervention and positive encouragement were given and relaxation skills were also taught to decrease both his nervousness and concern about his condition. The direct involvement of his family was also encouraged so that they might participate in his recovery. Eventually, the patient showed a positive attitude toward this therapeutic approach and became physically and mentally stronger.