照護一位初次接受放射線治療之肺癌個案護理經驗

This article describes the care of a lung cancer patient receiving his first cycle of radiotherapy between March 17 and April 6, 2015. The disease and radiation therapy caused the patient to experience a loss of appetite, physical decline, fever, pneumonia, and anxiety. Observations, interviews, physical examinations, and Gorden's 11 functional assessments were used to establish the patient's health problems that included: (1) gas exchange disorders due to radiotherapy, (2) anxiety, and (3) nutritional imbalances caused by diseases and less food intake than physical needs. Interventions included appropriate oxygenation, teaching simple lung rehabilitation exercise and abdominal breathing training. Jointly formulated were his diet plan to include his favorite foods with sufficient calories and nutrients to maintain his body's needs. Health education included proper radiation therapy information and self-care measures. The nurse' role were active listening, encouraging, companionship, and care. These measures enabled the patient to comfortably and safely complete the first stage of radiation therapy and subsequent care at home. Nurse's early intervention with the knowledge and self-care skills may alleviate patient's anxiety and improve the care and quality of life.