一位接受週邊置入中心靜脈導管急性淋巴性白血病患者的護理經驗

An Experience in Nursing an Acute Lymphocytic Leukemia Patient with Peripherally Inserted Central Catheter

週邊置入中心靜脈導管（PICC）在台灣仍在起步階段，其優點為置入過程安全、簡單而且併發症少，適用於長期靜脈給藥的病人或化學治療的病人。而接受PICC的個案，往往要留置半年至一年，所以學會自我照顧技巧防止合併症是非常重要的。本篇報告即是護理一位44歲男性病患，因患急性林巴性白血病，化學治療期間接受PICC的護理經驗。筆者於從事PICC個案管理期間，運用自我效能理論，以參與照護、會談、電話訪談收集資料。在個案接受PICC期間，藉著分析和了解個案的特性和經驗，協助個案與主要照顧者來選擇及決定適合的導管及自我照顧技巧，進而達到個案於留置PICC期間無合併症的發生。希望藉此經驗的分享，讓護理人員知道如何協助個案與PICC共生，並持續維持生活品質。

The Peripherally Inserted Central Catheter (PICC) is still in its infancy in Taiwan. It has many advantages, including safety, simplicity, and few complications during the insertion process. It is suitable for patients who need long-term parenteral administration of medication or chemotherapy. However, the duration of PICC implantation is around six months, or even up to one year. As a result, it is very important to educate patients to take care of themselves throughout the implantation period in order to prevent complications. This report describes the experience of nursing a forty-four-year old male patient who suffered from acute lymphocytic leukemia and received a PICC implantation while undergoing chemotherapy treatment. As a PICC case manager, the author utilized self-efficacy theory and devoted herself to nursing care, interviews and phone calls to collect valuable information. During the process of PICC implantation, the author analyzed the characteristics of this case and assisted the patient and his primary care giver in choosing a suitable catheter and self-care techniques to achieve minimal complications during implantation. It is hoped that, by sharing in her experience, nursing staff may enhance their ability to assist patients with PICC and to help them to maintain their quality of life.