運用Ferrans生活品質概念模式照顧一位大腸癌復發患者的護理經驗

The Experience of Caring for a Patient with Recurrent Colon Cancer Using Ferrans Conceptual Model of Quality of Life

本文為運用Ferrans生活品質模式，照顧ㄧ位大腸癌復發個案提升生活品質之護理經驗。個案自2011年8月因疾病復發而定期入院行化學藥物治療，期間因疾病復發所產生的不適症狀及心理壓力，皆對其生活品質產生負面影響。筆者的護理期間為2012年8月31日至11月2日，每隔二至三周入院，每次為期三天，共四次，以身體評估、會談及病歷查閱等方式收集資料，確認其護理問題有：營養少於身體所需、疲憊、不確定感。藉由關懷、傾聽陪伴及心理支持，個別性的生活指導，如飲食及活動衛教，以提升其生活品質。期望藉由此報告的分享了解，癌症患者可藉由個別性的照護及指導，來提升其照顧品質。

This case study reported the application of Ferrans Conceptual Model of Quality of Life in nursing a patient with recurrent colon cancer to improve the patient’s quality of life. This patient was diagnosed with recurrent colon cancer and subsequently hospitalized in August, 2011 to receive chemotherapy. The discomfort and stress resulted from the recurrence and the treatment negatively influenced the patient’s quality of life physically and psychologically. The nursing period lasted from August 31^(st) to November 2^(nd) in 2012, which was divided four 3-day admissions with two to three weeks interval in between each admission. The author collected and analyzed data through physical assessment, conversation and inspection of medical record. The major health problems were identified as altered nutrition (less than body requirements), fatigue and uncertainty. Through caring, listening, mental support, and individualized guidance on diet and health education, the patient’s quality of life significantly improved. This report could serve as a reference for nursing staff that, by implementing individualized care and education, could improve the quality of life for cancer patients.