照顧一位罹患神經母細胞瘤第四期病童之護理經驗

Nursing Experiences of Caring a Child with Neuroblastoma

本文敘述一位罹患神經母細胞瘤第四期病童因民國92年11月6日發燒入院，並於住院過程中(92/11/6-92/12/6)接受周邊血液幹細胞之收集。筆者護理此病童的時期為民國92年11月20日到民國92年11月26日，病童於住院期間，以Gordon十一項健康功能型態為評估工具，發現有潛在危險性感染、口腔黏膜改變、體溫過高與疼痛等護理問題。針對上述四項護理問題，筆者先確立合宜之護理目標並給予適切之護理措施，經評值後，病童之護理問題皆已獲得改善。此護理經驗可做為日後照顧神經母細胞瘤病童之參考，以期護理人員皆可對病童之生理不適，了解可能之相關原因，並給予適當之護理措施，以提昇照護品質。A child with neuroblastoma was hospitalized due to fever on November 6, 2003. During the hospitalization (11/06/2003-12/06/2003), the peripheral stem cells were collected from this child. The caring duration of the author was from November 20, 2003 through November 26, 2003. This article describes the medical and nursing interventions implemented for solving this child's health problems. As Gordon's 11 Functional Health Assessment served as an assessment guide, four health problems, such as risk for infection, altered oral mucous membrane, hyperthermia, and pain, were identified. In order to solve four health problems mentioned above, nursing goals were first identified and nursing interventions were then implemented. After evaluating the nursing care planed for this child, four health problems were either improved or solved. This care experience may provide health professionals with some references to care children with Neuroblastoma. Hopefully, the article can make a contribution to the quality of care conducted by the health care professionals who learn to understand planning an individualized nursing plan for children with Neuroblastoma.