[多发性骨髓瘤年轻父亲接受肾透析和自体干细胞移植的护理经验]。

Q3 Nursing
Huei-Shiuan Wang
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引用次数: 0

摘要

本病例报告介绍了作者为一名 37 岁的多发性骨髓瘤患者提供护理的经验,这名患者被诊断为多发性骨髓瘤,由于病情进展需要定期进行肾透析,并接受了自体干细胞移植。该患者在年轻时被诊断出患有癌症,作为父亲,他面临着与治疗阶段遇到的意外挑战相关的各种心理问题。近年来,与癌症患者生活质量密切相关的社会心理健康问题日益受到关注。针对癌症父亲的研究成果有限,这促使作者详细介绍了她在本病例中的经历。护理期为 2022 年 8 月 5 日至 8 月 19 日。在护理期间,对戈登一家进行了 11 项功能性健康评估,其中潜在的严重感染、应对障碍、焦虑、潜在的受伤风险、现有或潜在的营养不良、口腔粘膜变化和腹泻被确定为主要的健康问题。采取的护理干预措施包括:提供保护性隔离措施以防止移植后感染;帮助患者学习应对情绪困扰的有效方法;提供全面的后续护理信息和健康教育,以减轻与出院和出院后生活相关的焦虑。为青少年患者提供护理服务所面临的挑战与为老年患者或儿科患者提供护理服务所面临的挑战有很大不同。此外,虽然对确诊癌症的母亲进行了广泛的研究,但很少有研究涉及父亲确诊癌症时对父亲角色的影响,有关父亲的心理关切和问题或对家庭动态的影响的信息也很有限。作者希望本病例护理经验能为护理实践提供有见地的参考和指导,有助于更好地了解被诊断为癌症的年轻成年父亲的心理问题,并促进临床环境中更适当的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Caregiving Experience With a Young Father With Multiple Myeloma Undergoing Renal Dialysis and Autologous Stem Cell Transplantation].

This case report addresses the author's experience providing nursing care to a 37-year-old patient diagnosed with multiple myeloma requiring regular renal dialysis due to disease progression who received autologous stem cell transplantation. The patient was diagnosed with cancer in young adulthood and, as a father figure, faced various psychological issues associated with the unexpected challenges encountered during their treatment phase. Psychosocial health, which is closely associated with quality of life in patients with cancer, has gained increasing attention in recent years. The limited research published on the subject of fathers diagnosed with cancer encouraged the author to detail her experience with this case. The care period was from August 5th to August 19th, 2022. During the care period, the Gordons's 11 functional health assessment was applied, with potentially severe infections, coping disorders, anxiety, potential risk of injury existing or potential nutritional deficiencies, oral mucosal changes, and diarrhea identified as the primary health problems of concern. Nursing interventions applied included providing protective isolation measures to prevent post-transplant infection, helping the patient learn effective ways to cope with emotional distress, and providing comprehensive follow-up care information and health education to alleviate the anxiety associated with hospital discharge and life after discharge. The challenges of providing nursing care to adolescent and young adult patients differ significantly from those faced in the care of either elderly or pediatric patients. Furthermore, although extensive research has been conducted on mothers diagnosed with cancer, little research has addressed the impact on the paternal role when fathers are diagnosed with cancer, with limited information available regarding their psychological concerns and issues or the impact on family dynamics. The author hopes this case care experience offers an insightful reference and guide for nursing practice that contributes to a better understanding of the psychological aspects of young adult fathers diagnosed with cancer and facilitates more appropriate care in clinical settings.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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