糖尿病合併胰臟癌患者術後回復身體活動功能之照護經驗
癌症術後常帶來多種阻礙而影響身體活動，儘早制訂訓練計畫能協助病人恢復及維持身體功能狀態，將減輕家屬照顧負擔，然而臨床護理人員卻較少運用相關指引給予術後身體活動具體建議及照護。筆者於照護糖尿病合併胰臟癌個案術後期間，透過運用2016年美國國家癌症資訊網（National Comprehensive Cancer Network, NCCN）「癌症存活者—健康生活型態之身體活動指引」，進行個案臨床身體狀態、可治療因素、影響其執行身體活動之障礙因素以及身體活動風險程度評估，依評估結果擬定符合其需求的計畫，給予糖尿病患者活動之建議，進行身體活動訓練；並提供均衡營養攝取，避免營養不足成為身體活動執行障礙...
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| Published in | Hu li za zhi Vol. 65; no. 1; pp. 104 - 111 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
台灣
台灣護理學會
01.02.2018
社團法人臺灣護理學會 Taiwan Nurses Association |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-262X |
| DOI | 10.6224/JN.201802_65(1).14 |
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| Abstract | 癌症術後常帶來多種阻礙而影響身體活動，儘早制訂訓練計畫能協助病人恢復及維持身體功能狀態，將減輕家屬照顧負擔，然而臨床護理人員卻較少運用相關指引給予術後身體活動具體建議及照護。筆者於照護糖尿病合併胰臟癌個案術後期間，透過運用2016年美國國家癌症資訊網（National Comprehensive Cancer Network, NCCN）「癌症存活者—健康生活型態之身體活動指引」，進行個案臨床身體狀態、可治療因素、影響其執行身體活動之障礙因素以及身體活動風險程度評估，依評估結果擬定符合其需求的計畫，給予糖尿病患者活動之建議，進行身體活動訓練；並提供均衡營養攝取，避免營養不足成為身體活動執行障礙，且結合糖尿病注意事項之相關衛教於術後照護中，以增進自我照顧能力；同時鼓勵家屬共同參與，給予個案心理支持與促進其執行意願，協助盡快回復身體活動功能，進而提升生活品質。期望透過此文將此指引提供護理人員於照護相關類型病人期間，進行身體活動訓練之參考。 |
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| AbstractList | Many barriers influence the ability of postoperative cancer patients to reengage in normal physical activities. Training programs have been shown to be effective in helping restore physical activity in patients and in reducing the care burdens of family members. Nurses cannot use physical activity guidelines in their care plan to assess individual needs. The clinical practice guidelines for physical activity in survivorship were published by the National Comprehensive Cancer Network (NCCN) in 2016. These guidelines are used to assess patients' physical status, curable factors, physical barriers, and risk of postoperative pancreatic cancer and diabetes. In line with this assessment tool, the physical activity guidelines, and the recommendations for cancer patients, the authors planned a physical activity training program that addressed the actual needs of patients under their care. Further, the authors provided special notes for a diabetic diet that helped reduce the barriers to resuming physical activity and 癌症術後常帶來多種阻礙而影響身體活動，儘早制訂訓練計畫能協助病人恢復及維持身體功能狀態，將減輕家屬照顧負擔，然而臨床護理人員卻較少運用相關指引給予術後身體活動具體建議及照護。筆者於照護糖尿病合併胰臟癌個案術後期間，透過運用2016年美國國家癌症資訊網（National Comprehensive Cancer Network, NCCN）「癌症存活者—健康生活型態之身體活動指引」，進行個案臨床身體狀態、可治療因素、影響其執行身體活動之障礙因素以及身體活動風險程度評估，依評估結果擬定符合其需求的計畫，給予糖尿病患者活動之建議，進行身體活動訓練；並提供均衡營養攝取，避免營養不足成為身體活動執行障礙，且結合糖尿病注意事項之相關衛教於術後照護中，以增進自我照顧能力；同時鼓勵家屬共同參與，給予個案心理支持與促進其執行意願，協助盡快回復身體活動功能，進而提升生活品質。期望透過此文將此指引提供護理人員於照護相關類型病人期間，進行身體活動訓練之參考。 |
| Author | 吳美枝(Mei-Chih Wu) 孫秀卿(Shiow-Ching Shun) 楊惠婷(Hui-Ting Yang) |
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| Snippet | 癌症術後常帶來多種阻礙而影響身體活動，儘早制訂訓練計畫能協助病人恢復及維持身體功能狀態，將減輕家屬照顧負擔，然而臨床護理人員卻較少運用相關指引給予術後身體活動具體建議及照護。筆者於照護糖尿病合併胰臟癌個案術後期間，透過運用2016年美國國家癌症資訊網（National Comprehensive Cancer... Many barriers influence the ability of postoperative cancer patients to reengage in normal physical activities. Training programs have been shown to be... |
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| SubjectTerms | Clinical practice guidelines Diabetes Exercise MEDLINE Pancreatic cancer physical activity Physical fitness practice guidelines Scopus Surgery TSCI 照護指引 糖尿病 胰臟癌 身體活動功能 |
| Title | 糖尿病合併胰臟癌患者術後回復身體活動功能之照護經驗 |
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