照護一位腦下垂體腫瘤患者術後之護理經驗

Nursing Experience of the Post Operative Care of a Patient Treated for a Pituitary Tumor

本文描述照護一位腦下垂體腫瘤患者行經蝶竇內視鏡切除腫瘤手術後併發合併症之護理經驗。在照護個案期間，以觀察、會談、身體評估等方式收集資料，進行整體性評估，確立病患有潛在危險性感染、潛在性體液容積缺失、疼痛：頭痛及知識缺失／血壓控制等健康問題。照護期間以傾聽、給予相關護理指導，緩解病患度過術後合併症導致身體不適之情形，並與個案建立良好護病關係，協助患者面對疾病合併症（鼻漏、尿崩症）及長期血壓控制。筆者希望藉此護理經驗的分享，能提供護理人員重視腦下垂體腫瘤患者生、心理調適以及照護方法。

This article describes the nursing experience care for a patient who experienced complications related to the transsphenoidal endoscopic resection of a pituitary tumor. During the postoperative nursing care, using observation, interviewing and physical examination, we assessed the overall risk of potential life-threatening infections, potential fluid volume deficit, headache, knowledge deficit (blood pressure control) in the patient. During the days she received care in our department, we eased the physical discomfort resulting from the postoperative complications through listening and relevant caring guidance. We established a good nurse-patient relationship which allowed her to face the complications (e.g., rhinorrhea, diabetes insipidus) and long-term blood pressure control.Through the sharing of this nursing experience, we hope that we can call the nursing attention on the physical and mental adjustment needed by patients with pituitary tumors and improve postoperative care.