運用Maslow的需求理論協助一位大腸癌個案適應化學治療過程

Applying Maslow's Hierarchy of Needs Theory to Assist a Colon Cancer Patient to Cope with Chemotherapeutic Process

本文描述以Maslow的需求理論，照顧一位大腸癌個案適應化學治療之護理經驗。於2014年8月5日至11月26日之護理期間，經由直接照護、會談及查閱病歷方式，確立主要健康問題有噁心、嘔吐、疲憊、無望感等。運用藥物合併非藥物處置，改善噁心、嘔吐、疲憊感，滿足基本生理需要；透過關懷及家屬陪伴，增加安全感，滿足愛與歸屬感；提供相關資訊，使瞭解治療計畫，促使正向適應罹癌衝擊，重拾未來希望，滿足更高階層的需求。期望此護理經驗，可以做為護理人員協助此類罹癌患者之參考。

This article described the nursing experience of applying Maslow's Hierarchy of Needs Theory to assist a colon cancer patient in coping with chemotherapeutic process. During the nursing period from August 5 to November 26, 2014, data was collected via direct care, interview, and chart review. The major health problems were identified as followed: nausea, vomiting, fatigue, and hopelessness. We combined pharmacotherapy and non-pharmacologic intervention to improve the symptoms of nausea, vomiting, and fatigue, and to meet the patient's basic physical needs; provided caring and family companionship to increase the patient's sense of security, and to satisfy her needs for love and belonging; and offered relevant information on treatment protocol to facilitate positive coping in her on the cancer diagnosis, regain hope for the future, and satisfy the higher hierarchy of needs. We hope this experience can serve as a reference for nurses when facing similar cancer patients.