| 英文摘要 |
This article described the nursing care provided to a colorectal cancer patient following permanent colostomy surgery. The care period was between March 5 and 24, 2014. The Gordon function health assessment guide was used to assess the nursing problems. The author employed several approaches of observation, conversation, and physical examination to collect and analyze the clinical data of the patient. Consequently, the author attributed the patient’s health problems to acute pain, body image disturbance, and lack of knowledge. During the nursing process, the author assisted the patient and the patient’s family members in understanding colostomy and educated them relevant self-care techniques. In addition, the author assumed the roles of a listener, supporter, and advisor to encourage the patient to express her worries and fears and to assist her in adjusting to the changes in body image, thereby increasing her willingness to learn relevant self-care knowledge and techniques. The patient-centered nursing approach adopted by the author accounted for the physical, mental, and spiritual demands of the patient, actively relieved concerns of the patient, increased the patient’s willingness to express her feelings, and improved the care skills of the patient’s family members. The author concluded that the proposed nursing approach is beneficial for helping similar patients accept their body image, reestablish confidence, and return to their families and everyday lives as well as for reducing the impact of stoma surgery. |
