一位罹患復發性大腸直腸癌患者術後的護理經驗

The Nursing Experience of a Patient with Recurrent Colon-rectum Cancer

本文旨在探討照顧一位復發性大腸直腸癌手術患者之護理經驗。護理期間自95年10月31日至95年11月24日，藉由觀察、會談及身體評估等技巧蒐集資料，以羅氏適應理論進行評估，確立護理問題有睡眠型態紊亂、性功能障礙及尿潴留等。筆者在護理過程中，先熟悉全直腸繫膜切除術相關資料，進而運用於照護上，並與個案及家屬建立良好互動關係，有助於護理過程順利，使個案增加自我照顧及適應能力。

This article was to discuss the nursing experience during 31st October, 2006 to 24th November, 2006 of caring a patient with recurrent colon-rectum cancer. The authors assessed nursing problems using the Roy's adaptation theory measure after detailed observation, consultation and physical examination. The main nursing problems included sleep pattern disturbance, sexual dysfuntion and urinay retention. During the process of nursing care, the authors first reviewed relevant literatures and academic information about total mesorecal excision, then applied those useful nursing practices on patients. Furthermore, it is important to have good interventions with the patients family that was benefit to nursing process, increasing selfcare and adapted ability.