자궁내막암,Endometrial Cancer 케이스스터디 A+

소개글

모성간호학 자궁내막암,Endometrial Cancer 케이스 입니다.
교수님 수정까지 다 한겁니다.
후회하지 않으실꺼에요
간호과정 정말 열심히하고 칭찬받은겁니다.
간호진단 5개
간호과정 2개
수술과 관련된 급성통증, 불확실한 예후와 관련된 불안

목차

Ⅰ. 서론
1. 연구의 필요성 및 목적·················································································2


Ⅱ. 문헌고찰
1. 자궁내막암(Endometrial Cancer)의 정의 ·····················································1
1.1. 자궁내막암의 병태생리 ·············································································1
1.2. 자궁내막암의 원인 ···················································································1
1.3. 자궁내막암의 증상 ···················································································2
1.4. 자궁내막암의 병기 분류 ···········································································2
1.5. 자궁내막암의 진단····················································································2
1.6. 자궁내막암의 치료 ···················································································4
1.7. 자궁내막암의 간호중재 ·············································································5

Ⅲ. 본론
1. 간호력(Nursing history taking) ··································································5
2. 신체검진(Physical examination) ··································································5
3. 활력징후(vital sign) ····················································································6
4. 임상병리 검사 ·····························································································7
5. 진단적 검사 ································································································9
6. Critical Pathway(표준진료지침) ··································································10
7. 투약(Medication) ·······················································································12
8. 간호문제 목록 ···························································································14
9. 참고문헌
10. 간호과정 ···································································································16

본문내용

1. 연구의 필요성 및 목적

자궁내막암(Endometrial cancer)은 자궁 내 공간을 덮고 있는 조직, 자궁내막에 발생하 는 암으로 최근 지속적인 증가 추세를 보이고 있으며, 미국에서 자궁내막암은 부인암 중 가장 높은 발생률을 보이는 가장 일반적인 여성생식기 암이다.
이번 사례 연구를 통하여 자궁내막암의 병태생리를 알고 주요 관찰사항을 숙지하여 대상자의 간호문제를 사정하고, 간호과정을 통해 이를 시행함으로 대상자의 치료와 대상자의 교육적인 측면에 도움이 되어 빠른 회복을 도모하고자 본 사례연구를 하게 되었다.

1. 자궁내막암(Endometrial Cancer)의 정의

자궁내막암(endometrial cancer)은 자궁 체부 중 내벽을 구성하는 자궁내막에서 생기는 암을 말하며, 자궁체부암의 대부분을 차지하고 있다.

1.1. 자궁내막암의 병태생리

자궁내막암은 자궁내막의 과다증식에 의한 선암이다. 자궁선암은 자궁내막의 상피조직에서 기인한다. 자궁내막암은 천천히 성장하며 이런 이유로 대상자의 80~90%가 예후가 좋다. 대부분 자궁에서부터 기인되는 암은 드물고(5%) 예후도 나쁘다. 이러한 종양 중에는 평활근육종, 자궁내막 기저육종, 암육종 등이 있다. 예후는 좋지 않아 초기에 발견해도 생존율이 높지 않다. 종양은 주로 자궁저부바닥에서 발달하며 생식기관, 자궁근층과 경부로 직접 전이될 수 있으며 간, 폐 그리고 뇌까지 가며 골반 내 림프계와 혈액을 통해 전이가 이루어진다.

1.2. 자궁내막암의 원인

자궁내막은 다음과 같은 병력이 있는 사람에게 흔히 나타난다.
1) 월경력: 불규칙한 월경주기와 불임, 배란 실패, 폐경이 늦은 경우(52세 이후의 폐경), 폐경 후 에스트로겐 사용
2) 가족력: 유방, 난소, 자궁내막암을 앓은 가족이 있을 때
3) 현재 건강상태: 비만, 고혈압, 당뇨, 에스트로겐을 분비하는 난소종양, 비특이성 자궁내막증식

1.3. 자궁내막암의 증상

가장 흔한 증상은 부정 질 출혈로 전체 대상자의 90%에서 나타나고 폐경기에 질 출혈을 보이는 경우가 많다. 무증상인 경우는 대개 5% 미만이다. 폐경 후 출혈 중 30%는 암에 의한다. 질에 전이 되면 점액성 혈성 분비물이 있다.

참고 자료

하영수 외.「여성 모성간호학Ⅱ」. 신관출판사. 2016. p707~714
김덕수 외.「인체 구조와 기능Ⅱ」.JMK. 2016. p696~703
이강이 외. 「건강사정」. 현문사. 2018. p.353, p.402, p.460
성미혜 외. 「비판적 사고 기반 간호과정의 적용」. 수문사 2018. p.246~p.325
드러그인포(http://www.druginfo.rk.co.kr/index.aspx)
약학정보원(http://www.health.kr)