英文摘要 |
The purpose of this study is to introduce a nursing experience after caring for a postpartum patient, who developed severe abdominal distension due to ascites, but after detailed examinations was found to have ovarian cancer, complicated by ascites. During the nursing period (11th December 2017 to 20th December 2017,) Gordon’s 11 Functional Health Patterns were adopted to evaluate the patient’s condition. Data were collected via interviews, observations, and direct care, which confirmed that the case presented three nursing problems: excess fluid, anxiety, and feelings of helplessness. During the nursing period, the electrolytes in the patient’s blood, as well as her intake and excretion, were closely monitored. In addition, dietary educational brochures were provided, and the patient was instructed to take bed rest as often as possible to alleviate the discomfort caused by ascites and abdominal distention. Multiple measures were introduced to relieve the patient’s anxiety. This included active care, showing empathy, encouraging the patient to express her emotional and physical feelings, listening to her patiently, encouraging her to ask questions, and teaching deep breathing and muscle relaxation. The patient’s feeling of helplessness was greatly relieved by supplying proactive information about the disease and the associated treatment and by assisting her to understand the progression and treatment approaches of the disease. She was also provided with time and space to release negative emotions and stress through psychological sessions and her husband was encouraged to accompany and support her. It is recommended that, when caring for such patients, the patient’s family should be involved in the decision-making process, so as to alleviate the emotional pressure born by the patient alone. In addition, the psychological factors of the patient’s family should be incorporated in the nursing plan, thereby providing holistic care. |