Huang Tzu-Feng
Department of Nursing, Tri-Service General Hospital.
Hu Li Za Zhi. 2006 Feb;53(1):80-7.
This case report discusses the impact on the mind and body of a cancer recurrence patient in puberty, as he comes to terms with, and adjusts to, a recrudescence in his illness. In our study of the nursing process, we used Gorden's assessment tools for health patterns and gathered subjective or objective information through interviews and observations to establish case problems (i.e., "changes in body and mind", "personal maladjustments related to changes" "injuries of high risk" and "oral cavity mucosa ulcers", etc.). After gaining an understanding of the previous medical treatments employed in this case, in a way of respecting the medical selection and considering the developmental task at the stage of life, we provided support and encouragement through appropriate communications and expressions of sympathy with the objective of enhancing patient self-caring and capacity for adjustment in order to help the patient achieve the best possible quality of life.
本病例报告讨论了一名青春期癌症复发患者在面对疾病复发并逐渐接受和适应这一过程中,其身心所受到的影响。在我们对护理过程的研究中,我们使用戈登健康模式评估工具,通过访谈和观察收集主观或客观信息,以确定病例问题(即“身心变化”、“与变化相关的个人适应不良”、“高风险损伤”和“口腔黏膜溃疡”等)。在了解了该病例先前采用的医疗治疗方法后,我们以尊重医疗选择并考虑到患者所处生命阶段的发展任务的方式,通过适当的沟通和表达同情来提供支持和鼓励,目的是增强患者的自我护理和适应能力,以帮助患者实现尽可能最佳的生活质量。