一位老年胃癌病患的居家化療經驗

Home Chemotherapy Experience of an Elderly Male Gastric Cancer Patient

本文針對一位老年獨居的胃癌男性病患，在初次接受居家化療時的護理過程，經整體性評估後發現其護理問題包括：「預期性焦慮」、「傷口照護能力不足」、「缺乏居家化療知識與技巧」等。於2006.12.6至2007.1.31居家化療期間與個案建立治療性關係，透過書面及口頭教導、回覆示教，適時提供情緒支持、疾病資訊、自我照顧策略等措施，提升個案對於化學治療的相關知識，以增加自我照顧能力，增強對疾病與治療的控制感為目標，最後安全的完成12次門診居家化學治療療程，並維護病人的生活品質。期待本個案報告能提供門診或居家化療的相關經驗，增進對此類患者進行衛教與居家照顧內涵之瞭解。

This article presents the author's experience providing nursing care to an unaccompanied elderly male patient with gastric cancer who was undergoing initial home chemotherapy. Nursing care problems identified included ”anticipation anxiety”, ”inability to care properly for wound”, and ”deficits in knowledge and skills necessary for successful home chemotherapy.” A therapeutic relationship between the author and patient was established during home chemotherapy from December 6, 2006 to January 31, 2007. Health education and nursing interventions were provided through pamphlet-based and verbal instructions, reverse demonstration to offer timely emotional support, disease information, and self-care strategies. Aims of care included enhancing patient chemotherapy knowledge, increasing self-care ability skills, and improving patient confidence in being able to control successfully his cancer and chemotherapy regimen. After 12 author-mentored home chemotherapy sessions were completed, patient quality of life was maintained. Hopefully, this case report can provide an illustrative experience with home chemotherapy that will help healthcare nurses improve their approach to health education and home care for cancer patients.