運用正念於一位骨髓增生不良症候群合併癌因性疲憊病人之照護經驗

Nursing Experience of Utilizing Mindfulness on a Patient with Myelodysplastic Syndrome and Cancer-Related Fatigue

本文為運用正念於一位骨髓增生不良症候群合併癌因性疲憊病人的照護經驗。於2022年2月7日至4月20日照護期間，以羅氏適應模式進行整體性評估，歸納個案健康問題為：一、癌因性疲憊/與癌症初診斷及首次接受化學治療有關；二、情緒困擾/與診斷癌症及面對後續治療影響工作及生活有關。筆者運用正念設計個別性照顧計畫，以正念減壓引導個案身體掃描，緩解癌因性疲憊症狀；同時以正念認知療法引導個案情緒覺察，藉以建立個案自我照顧技巧及情緒因應能力，促進良好的生活品質。期望此篇照護經驗分享，能提供護理人員照護癌因性疲憊病人有關正念療法之運用，協助病人培養長遠的自我照顧技巧，達到生理舒適及心理安適的狀態，學習與癌共處。

This article describes the author’s experience applying mindfulness in the care of a patient diagnosed with myelodysplastic syndromes complicated by cancer-related fatigue, during nursing care from February 7 to April 20, 2022. Using Roy’s adaptation model for a comprehensive assessment, the primary health concerns identified were cancer-related fatigue associated with the initial diagnosis and first chemotherapy, and emotional distress stemming from the diagnosis and ongoing treatment, which affected the patient’s work and personal life. To address these issues, the author developed a personalized care plan incorporating mindfulness practices. The patient was guided through mindfulness-based stress reduction (MBSR) body scans to alleviate fatigue and engaged in mindfulness-based cognitive therapy (MBCT) to process emotions, enhance self-care, and improve emotional coping skills, thereby promoting a better quality of life. By sharing this nursing experience, the author aims to provide healthcare professionals with practical insights into integrating mindfulness therapies for patients facing cancer-related fatigue, supporting the development of sustainable self-care strategies, physical comfort, emotional well-being, and adaptive coping with life alongside cancer.