照顧一位乳癌婦女術後心理衝擊之護理經驗

Nursing Care Experience for a Breast Cancer Women with Psychological Impact

罹患癌症對病人是一種莫大的衝擊，尤其是乳癌婦女在面對乳房切除後身體外觀改變的心理衝擊。本篇個案報告主要探討一位罹患乳癌婦女面對術後所造成衝擊之護理經驗。於2012年 1月6日至1月11日的護理期間運用Gordon十一項功能性健康型態評估做為指引，藉由直接照護、觀察、會談與傾聽等方式收集資料，發現個案有焦慮、知識缺失及身體心像紊亂的健康問題。護理過程中提供完整性照護，以同理心及支持的態度，經由傾聽、運用各項相關資源、指導居家手臂復健運動，協助適應外觀及生活習慣的改變，以達到正向外觀調適。期望經由此護理經驗之分享，提供日後護理同仁照護此類個案之參考。

The impact of cancer diagnosis to a patient is tremendous, especially to a woman with breast cancer facing body image disturbance after surgery. This paper described the nursing experience of a woman with breast cancer during postoperative period. The nursing period was from January 6 to 11 of 2012. The Gordon’s functional health assessment guide was used to assess nursing problems through direct care, observation, interviewing, and listening. The nursing problems included anxiety, knowledge deficit, and disturbance body image. During the period of care, the author provided the patient with holistic care with empathy and support. Also, we listened and applied various resources to educate arm exercise at home, helping her adapt to appearance and life change and adjust to positive appearance. This experience provided nurses with a reference for caring similar patients in the future.