運用芳香療法照顧一位下咽癌女性術後照護之經驗

Aromatherapy as Part of Nursing a Post- Operative Female Patient with Hypopharyngeal Cancer

本篇為一位下咽癌女性術後因行半部喉切除術、頸部廓清術、氣切孔的護理經驗，護理期間97年1月13日至1月29日，運用Gordon十一項健康功能評估個案狀況，發現個案有疼痛、組織完整性受損、身體心像紊亂等護理問題，筆者除了提供生理照護外，運用冥想，引導個案緩解頸部傷口疼痛。因個案害怕頸部傷口會飄出異味，以運用芳香療法減輕傷口的惡臭，教導日常生活自我照護之技巧，且採持續性的關懷，以同理心、接受及支持的態度，鼓勵表達情緒能適當發洩，重新正向自我概念，協助其接受身體外觀、結構及功能改變。藉此護理經驗的分享，並提升個別性護理品質。

This article is about the experience of sharing post-operative care after hemilaryngectomy, neck dissection, and tracheostomy for a female with hypopharyngeal cancer during a nursing period from January 13th to January 29th, 2008. The patient was confronted with post-operative pains and impaired tissue integrity, as well as physical and psychological disorders. We utilized the concept of functional health patterns as developed by Marjory Gordon to evaluate the issues presented by this patient. The authors not only provided nursing care, but also provided meditation to relieve the pain caused by the operation. Since the patient was affected by the foul smell from the wound, the authors also provided aromatherapy to reduce the smell and taught self care skills for use in her daily life. With continuous care, we encouraged proper emotional release with empathetic, accepting and supportive attitudes in order to reestablish a positive self concept to help her accept the physical outlook with structural and functional changes. We were also able to enhance the quality of nursing care through the sharing of nursing experiences.