一位卵巢癌手術五年後多處癌細胞轉移之婦女住院期間的護理問題

Nursing Problems Related to a Post-operative Ovarian Cancer Woman with Metastasis during Hospitalization

癌症威脅人類的生命，帶來無限的痛苦和折磨，當病情惡化或再發，死亡的陰影和恐懼盤據在病人內心深處不易消除，若她是正負有養育子女重任的母親，則更擔憂孩子、家庭。本研究採田野研究法探討一位卵巢癌婦女手術後多年，因癌細胞轉移而住院接受化學治療期間所面臨的護理問題。研究顯示病人的問題主要有：睡眠型態紊亂、有吃的慾望、疼痛的不適感受、夫妻面臨悲痛的衝擊、失去照顧孩子及管教孩子的能力、思念家鄉、對生命的抉擇。經由本研究可提供護理人員對癌症末期婦女有更深入的瞭解，才能實際協助病患找到自己的調適方法、控制症狀，提供高品質的醫療術與服務，藉由關懷與支持病人及家屬而能調適悲痛的衝擊，使個案能平靜走完人生旅程。

Cancer is a life threatening illness, with endless suffering and affliction, When the patient’s condition becomes worse or recurrent, he/she will feel fear and anxiety, especially the mother. Using the field research method, our study investigated those nursing problems which were related to a post-operative ovarian cancer patient with metastasis who was receiving chemotherapy. The study indicated that the patient’s had sleep disturbance, a desire to eat, fear, pain, loss of ability to look after her children, and a missing of home and the choice of destiny. This study can offer health care professionals an impressive understanding of those terminal cancer women, help them to accept the disease, control the disease, and give them quality of nursing care. By means of supporting patient and family, patient can go end her life very peacefully.