運用正向心理理論照護一位舌癌術後併發急性腔室症候群個案之護理經驗

Nursing Experience in Adopting Positive Psychology Theory to a Patient with Acute Compartment Syndrome After Tongue Cancer Resection

本文描述一位45歲男性因舌癌復發，接受皮瓣重建術後供皮區併發急性腔室症候群的 護理經驗。護理期間為2016年9月5日至12月10日，以生理、心理、社會及靈性等方面進 行護理評估，收集資料並分析處置，確立個案的主要健康問題有：急性疼痛、組織完整 性受損與無力感。在照顧過程，優先提供生理上舒適照護及疼痛處置，筆者運用正向心 理學理論來引導個案產生正向情緒，以積極因應、樂觀等思維來改善負面情緒，並藉由 其妻女支持營造正向家庭環境，使個案逐漸產生正向情緒，對疾病復原逐漸產生信心， 而能回歸正常生活。藉由分享此護理經驗，建議護理人員能以正向心理理論為指引，發 展個別性護理措施於類似病人照顧。（志為護理，2020; 19:5, 110-120 ）

This article describes the nursing experience in caring for a 45-year-old man with acute compartment syndrome in a free-flap donor site following reconstruction of recurrent tongue cancer. The nursing care period was from 5/9/2016 to 10/12/2016. In the aspects of physiology, psychology, sociology, and spirituality, the author collected and analyzed the patient's data showing the main health-related issues: acute pain, impaired tissue integrity, and the sense of powerlessness. During the care of the patient, offering physiological support and adequate pain control was the priority. By using positive psychology, the nurse encouraged the patient to be active and optimistic in facing negative situations. In addition, the support of the patient's wife and daughter motivated him to think positively about his recovery from the disease. This nursing experience serves as a reference for nurses to develop effective nursing interventions with the use of positive psychology for similar patients in the future. (Tzu Chi Nursing Journal, 2020; 19:5, 110-120)