運用Watson關懷理論照護一位輸尿管癌病患之護理經驗

Nursing Experience of Caring a Patient with Ureteral Cancer Using Watson's Theory of Care

本文描述照護一位輸尿管癌病患護理經驗。護理期間自2020年9月9日至9月24日，以Watson關懷理論為基礎，並運用五大層面進行整體性評估，歸納「高危險性感染」、「疼痛」及「焦慮」為主要護理問題。病患術後每班觀察傷口感染徵象，教導營養均衡飲食，促進傷口癒合及預防傷口感染；教導病患採漸進式下床，運用放鬆技巧分散注意力，持續觀察病患傷口疼痛反應，配合止痛藥減緩疼痛問題；與病患建立良好關係，協同醫師向病患及家屬解釋治療方式，鼓勵病患表達內心感受、提供正確資訊緩解焦慮感。傷口照護提供換藥指導影片，病患透過影片重覆觀看學習照護技巧。建議未來照護過程結合醫療電子智慧化，提供即時回饋系統達成連續性照護，提升病患自我照護能力。

This article describes the nursing care experience of a patient with ureteral cancer. Guided by Watson’s Theory of Human Caring, a comprehensive assessment was conducted from September 9 to September 24, 2020, addressing physical, psychological, social, developmental, and spiritual dimensions. The primary nursing problems identified were high-risk infection, pain, and anxiety. Interventions for infection prevention included regular monitoring of the wound and patient education on maintaining a balanced diet to promote healing and reduce infection risk. Pain management strategies included gradual mobilization, relaxation techniques to distract attention, and the appropriate use of medications. To alleviate anxiety, the nursing team established a therapeutic relationship with the patient, provided clear information regarding treatment to both the patient and family members, encouraged expression of feelings, and supplied a wound care video to facilitate repeated practice and improve self-care skills. This case highlights the importance of integrating holistic nursing care with patient education and modern technological tools to enhance self-care capacity. The authors recommend the use of electronic health platforms and real-time feedback systems to support continuous care, optimize patient outcomes, and promote autonomy in post-treatment self-management.