運用Watson關懷理論改善肺癌病人無力感之護理經驗

A Caring Experience Based on Watson's Caring Theory to Improve a Patient's Powerlessness with Lung Cancer

本文描述一位65歲肺癌男性病人，因病情變化接受轉移部位腫瘤切除，但住院期間因肺癌併發症引起肺炎，提供關懷照護護理經驗。筆者於2018年5月11日至5月30日的護理期間，以觀察、身體評估、會談等技巧，涵蓋生理、心理、社會、靈性等層面，歸納出病人有肺部現存性感染、無力感，以及照護者焦慮等護理問題。以Watson關懷理論為護理措施之架構，除了減輕病人生理上之不適，更透過傾聽、陪伴、鼓勵等方式引導病人及家屬，肯定自我價值並回饋對彼此的感受，改善病人的無力感及家屬的焦慮感，達到全人、全家之照護。

This article presents an experience of caring a 65 years old patient with lung cancer. Data were collected via observation, interviews, and physical assessments between 11 May and 30 May, 2018. The author found that the patient had health problems, including lung infection, powerlessness toward treatments, and family anxiety. Watson's caring theory was applied to build trust with the patient and provided guidance to reduce physical complaints and powerlessness. In addition, the author also encouraged the patient as well as his family to share their feelings with each other which assisted the patient recognize his value in the family and also reduced family anxiety. This case report could provide a reference when caring patients with powerlessness. It could clearly be seen that Watson's caring theory not only improves patients' physical and psychological distress, but also reduce family anxiety.