英文摘要 |
Oral cancer patients who received mouth-jaw flap reconstruction are facing tremendous impact physically and mentally. Close monitor is essential during the acute stage to ensure flap survival. Poor flap survival results in additional burden to the patients and their caregivers, highlighting the importance of nursing care in the intensive care unit. .This report described the nursing experience for a 49 year-old-male with oral cancer who received mouth jaw flap reconstruction surgery and stayed in the intensive care unit. Nursing care was provided from May 19 to 25, 2011. Data was collected by observation, physical assessment, and interviewing. Mental, social, and spiritual domains were used to identify patient’s problems, which included tissue perfusion altered, pain, anxiety, and body image disturbed. The authors provided individualized nursing intervention to promote flap perfusion and alleviate wound pain. Adequate information was provided to relieve anxiety. The patient was encouraged to express his feeling and to adapt changes of his physical appearance. This report provides nurses with a reference for caring similar patients in the future. |