本文主要在探討一位二十八歲手術後確定罹患盲腸腺癌個案，因術後身體不適及心理困擾問題的照護經驗。照護期間自98 年4 月2 日至98 年4 月18 日止，期間運用觀察、會談及Gordon 十一項功能性健康型態評估工具收集資料，確立個案的健康問題有急性疼痛、焦慮及個人因應能力失調。手術後到確立癌症診斷的過程，一連串的心理適應過程及情緒反應；加上此疾病相關報告少，臨床上不多見，而引發筆者探討動機。照護過程運用Watson 關懷理論，以主動關懷的態度與個案建立信任的護病關係，提供隱密環境鼓勵其表達面對疾病衝擊的負向感受，適時提供相關醫療訊息，協助改善身體不適並減輕在面對疾病過程的心理壓力，使個案重新肯定自己存在的意義及價值，並在護理人員及家屬支持下，能以開放的態度坦然的面對罹癌的事實。

This paper is to explore a 28-year-old patient who was diagnosed with cecum adenocarcinoma and received nursing experience for postoperative physical discomforts and psychological problems. Being taken care since Apr. 2, 2009 to Apr. 18, 2009, observation, interviews, and 11 functional health assessment tool of Gordon to collect data were utilized, to establish health problems of each case including acute pain, anxiety and personal coping disorder. The process from postoperation to carcinoma confirmation, a series of mental adaptation and emotional reaction
process; with less related reports of this disease, rarely seen clinically, leaded the author’s motivation. Using Watson caring theory during care process to build up trust between the patients and nursing staff for being on the initiative attitudes, to provide private space to encourage the patient to accept the impact and negative feelings, to provide information properly and improve the physical discomforts and reduction of the psychological stress during the process of being ill, to
make the patient reevaluation cancer after being supported by nursing staff and the family.