透過跨團隊照護模式協助一位淋巴癌病患及家屬之加護護理經驗

The Experience of Interdisciplinary Care to a Lymphoma Patient and Family in an Intensive Care Unit

本文是透過跨團隊照護模式協助一位淋巴癌患者及家屬之護理經驗，個案因初次罹癌為其帶來龐大的心理衝擊，家人也因初次照顧生病的人感到疲累及緊張。筆者於護理期間2017年10月10日至11月21日，以會談、觀察、身體評估及病歷查閱等方式收集資料，確認主要護理問題：（一）呼吸器脫離困難／與呼吸肌無力及肺部感染有關。（二）焦慮／與對疾病變化的未知有關。（三）照顧者角色緊張／與個案依賴感及後續照顧技巧不清楚有關，筆者運用跨團隊資源與原醫療團隊偕同復健師、呼吸治療師及營養師擬定呼吸訓練計畫，協助個案儘早脫離呼吸器外並減輕個案及家屬對於疾病的焦慮。

This article described the nursing experience of interdisciplinary care to a lymphoma patient and family in an intensive care unit. The patient suffered from spiritual distress after the diagnosis of cancer. The family members were tired and nervous because of the first time experience of taking care of a cancer patient. The period of nursing care was from Oct 10 to Dec 21, 2018. Data were collected by interview, observation, and physical assessment. The health problems were identified as difficult weaning/related to respiratory muscle weakness and lung infection, anxiety/related to disease progress unknown, caregiver role strain/related to patient dependence and care skills unknown. Our interdisciplinary team, including a nurse, a doctor, a rehabilitation therapist, a respiratory therapist, and a dietitian, provided proper care to develop a respiratory weaning protocol. Finally, the patient successfully weaned from mechanical ventilation and the anxiety of the patient and family members reduced. The findings can serve a reference for caring similar cancer patients.