改善膽管癌老年患者術前焦慮及自我照顧能力缺失之護理經驗

Nursing Experience of Improvement for Preoperative Anxiety and Self-care Deficit of Elderly Patients with Cholangiocarcinoma

本文乃分享如何護理一位82歲男性膽管癌患者術前焦慮與自我照顧能力缺失之過程。筆者於2009年3月9日至3月25日期間，以Gordon十一項健康功能為評估架構，藉由身體評估、會談及觀察等技巧收集資料，經分析診斷，個案護理問題有術前焦慮、自我照顧能力缺失及潛在危險性跌倒。據此擬定個別性護理計劃，其中應用音樂、芳香療法及按摩，合併放鬆技巧，以緩解個案術前焦慮；以台語版輔具衛教光碟教導個案學習日常生活照顧，以促進其自我照顧能力，同時鼓勵家屬參與病人安全的維護，協助個案以正向態度面對手術，使個案在住院期間得到妥善、安全的照護。This article describes the process how to care preoperative anxiety and self-care deficit in an eighty-two years elderly of cholangiocarcinoma. The author looked after the period from March 9th, 2009 to March 25th, 2009 and made use of Gordon eleven functionalities healthy evaluation for framework which the information was collected by the way of physical examinations, discussions, and observations. Nursing problems of this case included preoperative anxiety, self-care deficit, and potentially dangerous falling after analyzing diagnosis. Preoperative anxiety of this patient was released by the use of auxiliary therapy such as music, aromatherapy, massage, and combination with a relaxation technique by establishing individually nursing plans. This case learned daily life self-care by watching Taiwanese (Southern Fujian language) healthy education disks, and the family was encouraged to participate in patient safety maintenance. The above staff made the patient face the operative treatment with a positive manner and obtain the proper and safe nursing care during the hospitalization.