| 英文摘要 |
The article was for nursing experience of using the concept of presence on a suffering lung cancer patient with brain metastases. We reflected the nursing nature through the caring process. The period of nursing care was from October 17 to November 26, 2014. We used the medical records reviewing, empathic communication, and observation skill to collect data and used the Suffering Scale to assess the suffering level. We perceived the patient had physical, psychological, and spiritual nursing problems. The patient suffered from physical function changes, disappointed at the disease and physical function changes, worried to be on somebody’s back, and had doubt about faith. We regarded the concept of presence as intervention, and using the listening, empathy, and intimacy to build the trust therapeutic interpersonal relationship during the caring process. Let the patient feel he was regarded, and willing to share his feeling. We had found the methods to control the patient’s symptom, helped the patient to adapt the disease to the new life, and had positive attitude toward the disease’s impact. We had made a fresh start to find the value of existence in the life to reduce the physical, psychological, and spiritual suffering experiences. We hope this experience can let the nurse know how to contact and observe patients through the concept of presence and assist the patients’ and families’ adaption of disease, and be more humanitarian in the nursing process. |
