一位子宮肌瘤患者行子宮切除術之護理經驗

A Nursing Experience of a Case with Myoma Underwent Hysterectomy

本文敘述一位47歲女性，罹患子宮肌瘤10年後，因經血量過多及肌瘤數量增加、變大，而影響日常生活作息，在醫師建議下行次全子宮切除術。筆者自97年12月23日至12月28日照顧期間，運用Gordon十一項功能性健康形態進行評估，經由觀察、會談及身體評估等技巧收集資料，確立個案有急性疼痛、身體心像紊亂、知識缺失等護理問題，於護理期間給予適切的護理措施，緩解因急性疼痛所造成的不適，提供關於子宮切除的資訊及正確的認知，使個案面對身體心像改變的事實，鼓勵案夫參與護理計劃，減輕個案因術後性生活調適所產生的無知，建立自信心。由於子宮切除術是婦女常見的手術，因此將此次護理經驗提供給護理專業同仁一起分享。

The article described is the nursing experience of a 47-year-old patient who had been diagnosed with myoma for 10 years. Because of hypermenorrhea and enlarging uteral fibroid, the patient underwent hysterectomy with the advice from her physician. The author assessed the condition of the patient with Gordon’s 11 functional health patterns during the period of 2008/12/23-2008/12/28. Data were collected by using observation, interviewing accompanied with physical examination, and nursing problems such as acute pain, body image disturbance and knowledge deficit were established. Through providing associated nursing care to relief discomforts resulted from the acute pain and clarifying correct information about hysterectomy, the patient was able to accept the fact in the change of body image. The patient’s partner was encouraged to participate in the nursing care program to assist the patient in reducing potential anxiety from future sexual activities and to reestablish self-confidence. Since hysterectomy is a common operation in female population, we would like to share our experience with all colleagues.