英文摘要 |
"This paper describes the nursing experience of caring for a 28-year-old woman who experienced a hypoglycemic coma and was subsequently diagnosed with pancreatic cancer. After surgical treatment, she felt hopeless due to physical discomfort and the psychological impact of the diagnosis. During the nursing period from June 12 to June 22, 2019, data were collected through direct care, observation, interviews, and physical evaluations, and Gordon’s Eleven Functional Health Patterns were used for the overall assessment. Three nursing problems were identified, namely acute pain, digestive tract movement dysfunction, and hopelessness. In the nursing process, through teaching wound fixation and progressive activities, assisting with comfortable positioning, teaching distraction skills, and combining patient-controlled analgesics, the patient’s pain was relieved; through diet and health education, the instruction to take several small meals a day, supplement with water, and consume proper amounts of electrolytes, teaching and assisting with abdominal massage, promoting gastrointestinal peristalsis, and encouraging the patient to get out of bed for activities, her abdominal distension and nausea were relieved, her digestive tract function was restored, and she became able to eat. Active care consisted of informing the patient of the treatment direction, encouraging her to actively participate in the treatment plan, assisting with her psychological adjustment, guiding positive thinking, providing positive feedback, and encouraging family support, and her hopelessness was alleviated. This case suggests that in the care of such patients, multimedia tools, photos, and videos can be used to strengthen the patient’s correct care knowledge, while case manager follow-up and subsequent outpatient contact can be combined to provide holistic care. (Cheng Ching Medical Journal 2022; 18(1): 70-79)" |