照顧一位初診斷女性乳癌的護理經驗

The Nursing Experience of an Newly Diagnosed Breast Cancer Woman

本文旨在描述一位32 歲初次被診斷乳癌第2 期之婦女，所造成的生理及心理衝擊之護理經驗。護理期間自2015 年10 月20 日至10 月26 日。在照護期間運用Gordon 十一項健康功能型態為評估架構，確立個案有：「組織完整性受損」、「急性疼痛」及「焦慮」之健康問題。於護理過程中，筆者執行傷口照護以促進傷口癒合；提供疼痛緩解的方法，如教導使用薰衣草精油按摩讓肌肉放鬆、固定引流管以避免受到牽扯以及教導活動或翻身時，按壓傷口以避免肌肉受到牽扯而引起疼痛；鼓勵個案說出內心感受並針對個案所提疑問給予說明，以減輕其焦慮。盼藉此經驗能提供護理人員作為日後在照顧類似病患之參考。

This case report describes the nursing experience of a 32 years old woman newly diagnosed breastcancer stage II, who dealt with physical symptom and psychological impact. The nursing period wasfrom October 20 to October 26, 2015, according to the data analyzed by the assessment tool of Gordon’s11 functional health patterns, the result indicated that the patient’s nursing problem including impairedtissue integrity, acute pain, and anxiety. During the period of caring, the author performed wound care,and then promoting wound healing. Providing the patient’s pain relief methods, such as teaching the useof lavender essential oil massage to relax the muscles, fixing the drainage tube in order to avoid beingpulled, and teaching activity or change position pressure on the wound to prevent muscle were pulled.Reducing the patient's anxiety by encouraging the patient to speak feelings, and explaining the patient’sdoubt. The findings are helpful to serve a reference to other nurses care of similar breast cancer woman.