一位前列腺癌接受放射性治療誘發膀胱炎個案之照護經驗

本文是一位72歲男性前列腺癌於2016年起開始接受放射線治療，因2019年開始持續反覆血尿，被診斷為放射性治療誘發膀胱炎，住院接受高濃度血小板血漿膀胱注射手術及高壓氧治療。護理期間於2019年7月26日至8月10日，以實際觀察、身體評估及會談，並運用Gordon 11項評估方式收集資料，歸納出病人有疼痛、特定的知識缺失、無力感等健康問題。護理期間協助超音波確認膀胱內血塊情形，提供醫療科評估及給予疼痛處置；製作投影片衛教個案正確資訊以改善疾病知識缺失，並使用色盤指導個案自行評估尿液顏色，增強自我照護能力，因血尿持續改善，無力感之負面想法也隨之減輕。期望藉此護理經驗，提供日後照護此類病患之參考。

This article centers on a 72-year-old man diagnosed with prostate cancer who underwent radiation therapy in 2016. In 2019, he began experiencing hematuria and was diagnosed with radiation therapy-induced cystitis. The patient was hospitalized from July 26 to August 10, 2019, for platelet-rich plasma bladder injection and hyperbaric oxygen therapy. Data collection utilized observation, physical examination, interviews, and Gordon's 11 assessment methods. The patient presented with three primary health problems: acute pain, a specific lack of knowledge, and feelings of powerlessness. Nursing interventions included the use of bladder ultrasound to confirm blood clots in the bladder, aiding doctors in evaluation and pain management. Additionally, this method facilitated the dissemination of accurate health information to address the knowledge gap regarding radiation-induced cystitis. It is crucial to empower patients to enhance their self-care abilities and teach them to utilize tools for assessing urine color. Improvements in hematuria can alleviate negative thoughts and concerns for the patient. This case report may serve as a valuable reference for future nursing staff caring for similar cases, emphasizing the importance of comprehensive care and education in managing radiation-induced cystitis.