照護一位乏特氏壺腹癌術後引發膿胸病人之護理經驗

The Nursing Experience of a Patient with Induced Empyema After Surgery for Vater Ampulla Carcinoma

本文旨描述一位初次診斷乏特氏壺腹癌行胰十二指腸切除術後病人，在住院過程中因併發膿胸，導致延遲出院，在治療過程中除了需忍受生理症狀不適外，疾病治療過程的無法掌控，讓個案生、心理產生極大衝擊及壓力，導致沮喪、哀傷等負向情緒在心中發酵之照護經驗。護理期間自2020年2月20日至3月21日，運用Gordon十一項健康功能評估以觀察、會談、傾聽、實地照護及查閱病歷等方式收集相關資料，確立疼痛、營養狀態改變：少於身體所需、現存性感染及無力感等護理問題，於照護期間適時提供藥物及緩解疼痛之技巧以轉移對疼痛之不適，另給予適當飲食調配並嚴格遵守無菌技術，藉由與個案維持良好的護病關係並予心理支持，樹立其正向信心，進而增進因應能力，使得出院返家後能安心落意且奠定良好的生活品質。

The purpose of this paper is to describe the nursing experience of a patient Pancreaticoduodenectomy for the first diagnosis of Vater's ampulla carcinoma. Delayed discharge due to empyema complicated during hospitalization. While treatment, in addition to having to endure physical symptoms and discomfort. The uncontrollable process of disease treatment has caused great physical and psychological shock and pressure, resulting in negative emotions such as depression and sadness. Fermentation in the heart. During the care period from February 20th to March 21th, 2020, the author us e Gordon's eleven health function assessments to observe, talk, listen, clinical practice care and access medical records to collect information to establish pain, nutritional status changes: care problems such as less than the body needs, existing infections and feelings of weakness. Provide medication and pain relief techniques during care to relieve pain discomfort. In addition, proper dietary provisioning and strict adherence to sterile techniques are also given. By maintaining a good nursing relationship with the patient and providing psychological support, establish positive confidence, and thus enhance the ability to adapt, so that after returning home from the hospital can be at ease and have a good quality of life.