학술논문

一位接受聯合肝臟分割和門靜脈結紮的分階段肝切除術病人之加護經驗 / Experience of Intensive Care in a Patient Receiving Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy
Document Type
Article
Source
長庚護理 / Chang Gung Nursing. Vol. 32 Issue 4, p107-117. 11 p.
Subject
肝癌
分階段肝切除術
護理經驗
Hepatocellular carcinoma
ALPPS
Nursing experiences
Language
繁體中文
ISSN
1026-7301
Abstract
Associating Liver Portition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) is a new surgical technique for removal of hepatic malignancies. This technique provides a viable option for patients with insufficient residual liver or patients who are considered unresectable by other methods. This article described the experience of caring a patient with liver cancer receiving ALPPS. During the nursing period, from June 7 to 13 13, 2018, Gorden's eleven health function assessment tool was used to evaluate the patient and collect overall health data through listening, interviewing, and observing. The health problems identified included anxiety, pain, and existing dangerous infections. The following measures were provided during the care process, including providing complete and individualized care plan, assessing the patient's physical and emotional needs, using a digital scale to assess anxiety and pain index, guiding the patient to express inner feelings, and providing appropriate pain relief methods. The process strictly adhered to the concept of sterility and avoided wound infection. It is hoped that through the sharing of nursing experience, nursing staffs who take care of such patients in the future will have principles to follow to improve the quality of clinical care.

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