運用Watson關懷理論於一位獨居癌末病人之護理經驗

An Experience Providing Terminal Care Based on Watson's Theory to a Cancer Patient Who Lived Alone

本篇主要是描述一位獨居且與家人關係疏離的癌末病人，住院期間因家人拒絕探視及照顧，而出現情緒低落、被動、少語、不參與治療、不信任他人等負向行為。筆者於民國93年6月11日至7月11日照顧期間透過直接照護，運用身體評估、會談及觀察等技巧收集資料，確立病人住院期間之健康問題，於護理過程中運用Watson關懷理論為基礎，與病人建立良好人際關係及信任感、適時關心其需求、執行身體護理以促進舒適、提供相關醫療資訊及協助病人面對內心真實感受等措施，協助病人處理生理、心理、社會及靈性層面問題，坦然面對疾病的發展，促使病人能在人性化的護理過程中，安詳、有尊嚴地走完人生最後的旅程。期望此篇文章可作為日後護理人員在照顧此類病人之參考。

This article presents the case of a terminal stage cancer patient who lived alone and had a detached relationship with his family, and negative behaviors such as: depression, passivity, silence, refusal of treatment, and inability to trust others because of lack of family care during hospitalization. We cared for the patient with direct personal nursing care, using skillful physical evaluation, conversation and close observation from June 11, 2004, to July 11, 2004. Using Watson's theory, we successfully instilled trust in the patient and developed a positive relationship with him. We took care of his needs in a timely manner, used physical care to make him feel comfortable, showed concern about what he was really feeling, provided him with medical information, and helped him to manage his physiological, psychological, social, and spiritual problems. We enabled the patient to face his disease, in the hope that he would experience the end of his life peacefully under our warm and professional nursing care.