本報告描述一位口腔癌患者，面對手術後身體心像紊亂及產生無望感，萌生自殺意念的護理經驗。筆者於2007年6月18日至7月9日照護期間利用觀察、會談、收集病史，運用Gordon十一項功能性健康型態進行評估，分析個案有身體心像紊亂、無望感、自我殘害等護理問題。過程中除了運用護理知識及技能，協助個案緩解手術所引起之生理不適；且採持續性的關懷、傾聽並以同理心鼓勵個案說出內心的感受，使其情緒適當發洩；亦藉由護理人員及家屬之關心及陪伴，激發出個案學習自我照顧的動機，及接受身體心像的改變，克服疾病所帶來的衝擊，解除自殺的意念。經由護理此個案，深刻體會護理人員在照護病患時，惟有適切地給予個別性及整體性的護理指導，深入瞭解其所面臨的身心問題，方能發揮護理獨特性的功能。

This case report describes the nursing for post-operative experience of a patient with oral cancer. The author assessed the patient by clinical observations, interviews, data collections, and the eleven-item Gordon Functional Health Measure during the caring period (June 18, 2007~July 9, 2007). The patient was diagnosed suffering from some psychological restrictive problems, such as the changing of body image, the feelings of hopelessness, and danger of suicidal ideation after his surgical operation. During hospitalization, the author used some nursing information and interventions to help the patient overcome the mental discomfort. Besides, consulting skills were used frequently. The patient was encouraged to express his emotion by using the skill of empathy, and he had developed some motives of self-nursing. Most important of all, the patient had accepted his changes of body image and had eliminated the intention of suicidal ideation through actively concern and accompanying from the nursing staff and his family. By means of this case report, the author realized deeply that the nurse could provide applicable medical suggestions to patients and do good for their health with individual and complete nursing care.