A+) 여성건강간호학실습 케이스스터디 자궁근종_활동 지속성 감소, 변비 위험성(문헌고찰, 간호진단 5개, 간호과정 2개)

소개

간호진단
#1 수술로 인한 조직손상과 관련된 급성 통증
#2 면역반응 증가와 관련된 고체온
#3 수술 후 식사량 감소와 관련된 활동 지속성 감소
#4 복합적 요인(식이, 수분섭취, 활동 저하와 진통제 사용)와 관련된 변비 위험성
#5 식사량 감소와 관련된 영양불균형의 위험

목차

Ⅰ. 문헌고찰
1.정의와 분류 ···························································································· 3
2.원인 ·········································································································· 4
3.증상 ··········································································································· 4
4.진단검사 ·································································································· 4
5.치료 ·········································································································· 5
6.간호 ·········································································································· 6
7.참고문헌 ································································································· 6

Ⅱ. 간호사정
1.전반적인 건강상태 사정 ····································································· 7
2.진단검사 ··································································································· 9
3.약물정보 ································································································· 10
4.치료계획 ································································································ 12
5.PBL ··········································································································· 12

Ⅲ. 간호과정
1.간호진단 ································································································· 13
2.간호목표 ································································································· 13
3.간호계획 ································································································· 13
4.간호수행 ································································································· 13

Ⅳ. 참고문헌 ························································································· 19

본문내용

Ⅰ. 문헌고찰
* 질환명: myoma of uterus(자궁근종)

1. 정의와 분류
(1) 정의
자궁근종은 평활근세포에서 발생되어 근종 또는 평활근종으로 부르는 자궁근층의 양성종양이다. 자궁근종은 자궁에서 발생하는 종양 중 가장 흔하며, 35세 이상의 여성 중 약 20~40%가 자궁근종을 가지고 있다. 이는 어느 연령에서나 발생 가능하지만 30~45세에 호발되며 폐경기 이후에는 대개 크기가 줄어든다.
(2) 분류
자궁근종은 자궁벽에서 발달하는 근층내 근종, 자궁내막 아래의 점막하 근종, 장막 아래의 장막하근종 등 위치에 의해 분류된다. 점막하 근종과 장막하 근종의 유형은 폴립형태로 발달하는데, 점막하 근종은 자궁강 안쪽으로 돌출되며, 장막하 근종은 골반강 바깥쪽으로 자란다.
2-1) 점막하 근종: 점막하 근종은 작은 크기로도 출혈의 원인이 되기 쉽고 육경을 형성할 경우 근종의 표면은 괴사, 출혈 및 감염이 되기 쉽다.
2-2) 근층내 근종: 자궁근종의 대부분을 차지하며 자궁의 근육층에 발생하는 근종이다. 크기가 크고 다발성일 때는 자궁이 현저히 커지고 결절이 뚜렷하며 견고해진다.
2-3) 자궁을 덮고 있는 복막 바로 아래에 발생하며 점막하 근종과 같이 육경형태로 자라기 때문에 고형성 난소종양으로 오진하는 경우가 있다. 특히 임신이 동반될 경우 종양 표면을 지나가는 혈관이 터져 다량의 복강내 출혈이 발생한다.

2. 원인
자궁근종의 발생원인은 확실하지 않으나 에스트로겐에 의존하여 근종이 성장하는 것으로 생각된다. 그 이유는 난소의 기능이 왕성할 때 근종이 잘 자라고 초경 이전이나 폐경기 이후에는 발생이 드물며, 특히 폐경기 이후에는 근종의 크기가 감소하기 때문이다.

참고자료

· 여성건강간호교과연구회, 여성건강간호학Ⅰ 제 10판, 수문사
· 유양숙, 권보은 외, 성인간호학 (상) 제 9판, 현문사
· 유양숙, 권보은 외, 성인간호학 (하) 제 9판, 현문사
· 최명애 이경숙 외, 보건의료인을 위한 병태생리학, 계축문화사
· 이은회 외 공저, 비판적 사고에 기반한 간호과정, 고문사
· 약학정보원 홈페이지 https://www.health.kr/
· 대한진단검사의학회 홈페이지 https://www.labtestsonline.co.kr/