一位行子宮切除術婦女自我概念改變之照護經驗

Nursing Experience in Changed Self-Concept of a Woman with Hysterectomy

本文係運用羅氏適應模式探討一位罹患肌瘤而摘除子宮之婦女其自我概念改變之護理經驗。依羅氏適應模式之概念架構進行評估，藉由觀察、會談、身體評估及出院電話訪談等方式收集資料，確立個案主要健康問題為(1)急性疼痛；(2)與特定疾病相關知識缺失/是否補充賀爾蒙有關；(3)自我概念紊亂；(4)性生活型態失常等四項。透過個別性護理活動之介入，協助個案面對疾病之不過，適應手術後生活的衝擊，引導重新建立正向之自我概念，快復原有婦女之自信心，學習健康及正確的性知識，以達到身心健康之狀態。將此護理經驗提出分享，期望提供臨床護理人員照護病患之參考，進一步提升婦女的生活品質。

This article describes our nursing experiences applied to the Roy´s adaptation model for awoman with myoma, receiving hysterectomy. The period of nursing care was from January 6th to11th in 2006.Data was collected through observations, interviews, physical examinations and phonecommunications.Four nursing diagnosis were identified including acute pain, deficient knowledge/specifically in the use of hormone, disturbed self-concept, and ineffective sexuality pattern. Individualnursing interventions used included promoting comfort, adaptation to the postoperative life,re-establishing a positive self-concept, and self-confidence, and learning proper sexual knowledge,in order to achieve the physical and psychological well-being. The author hopes this case report willprovide a useful reference to nurses charged with caring for women with hysterectomy.