照護一位行達文西手術系統切除攝護腺癌病人之手術全期護理

A Nursing Experience of Caring for a Prostate Cancer Patient Receiving a Da Vinci Robotic Prostatectomy

本文探討一位攝護腺癌病人行達文西手術系統切除攝護腺併行膀脫尿道吻合病人手術全期護理經驗，筆者於2013年11月19至2013年11月26日護理期間，以Gordon十一項功能性健康型態為評估工具，經觀察、訪談、病歷閱讀等方式收集資料。護理過程中發現病人健康問題有：手術前期：對疾病進展不確定、手術麻醉訊息不暸解產生的焦慮：手術中期：潛在危險性損傷；手術後期：特定知識缺乏等健康問題。照顧期間，針對病人健康問題提供個別護理措施及相關衛教。出院後經電話訪談，持續追蹤居家照護情形，並提供照護諮詢以期早日回復病人日常的生活。

This article reports a perioperative nursing experience of caring for a prostate cancer patient receiving total prostatectomy via the robotic Da Vinci surgical system combined with vesicoureteral anastomosis. During the nursing period from November 19 to 26, 2013, the author completed an integral assessment with Gordon's 11 functional health patterns assessment tool. Data were collected through patient observation, interview, and medical records review. The three major identified nursing problems were anxiety due to lack of information regarding disease progress and anesthesia during surgery, potential risk of surgical injuries, and lack of knowledge about post-surgical care. During the caring period, the author provided individualized care interventions and relevant patient education. The telephone follow-up and care consults for home care were offered after the patient was discharged with the expectation that the patient could quickly recover and go back to daily activities.