照顧一位舌癌病患手術後之加護護理經驗

Postoperative Intensive Care of a Patient with Tongue Cancer

本文為敘述一位36歲罹患舌癌個案，經歷手術後進入加護中心的護理過程。筆者運用觀察、筆談等直接護 理技巧收集資料，以羅式護理適應模式對個案做整體性的護理評估，發現並確立個案健康問題有：呼吸道清除 功能失效、感染、睡眠型態紊亂、焦慮、身體心像紊亂等。經由個別性與整體性護理措施的介入，運用支持系 統提供情緒支持，協助個案疾病之調適，於病情穩定後轉出加護中心。透過照顧計畫的介入解決與處理個案各 項健康問題，協助克服壓力期能早曰達到身心適應情形。透過此護理照護經驗之分享，使護理人員對類似個案 能有更深入的認識與瞭解，以為日後照護之參考。The content describes the nursing process of a 36-years-old tongue cancer victim who underwent surgery, then was admitted to the ICU. The researcher collected information by applying nursing skills of observation and conversation, then recorded the information in writing. Completely nursing assessments were performed utilizing the Roy Adaptation Model. The health problems detected in this case are: inefficient airway clearance, current infection, impaired sleeping pattern, anxiety, impaired body image. The writer performed specific and complete nursing interventions, provided emotional supports, and assisted the victim in coping with the disease throughout the entire ICU admission period. The writer also dealt with and resolved the patient5s health problems by utilizing nursing care plans. Moreover, she helped the patient to cope with the stresses in order to achieve a moderated physical and emotional status. By sharing the experience, nurses will use the article as a resource and gain an advantages in caring for similar patient in the future.