목차
Ⅰ. 서론 ······························································································ 3
1. 선정 이유 ········································································································································ 3
2. 이론적 고찰 ···································································································································· 3
Ⅱ. 본론 ······························································································ 8
1. 간호 사정 ········································································································································ 8
2. 간호 진단 ······································································································································ 20
3. 간호 과정 ······································································································································ 20
Ⅲ. 결론 ···························································································· 33
1. 참고문헌 ········································································································································ 33
본문내용
1. 선정 이유
여성 간호학 실습을 하며 자궁근종을 절제하기 위해 수술하는 환자들을 많이 만날 수 있었다. 자궁근종 절제술을 하는 환자들의 연령대가 굉장히 다양하고 하루 1번 이상 수술이 있는 것을 보고 자궁근종이 흔하게 발생하는 종양이라는 것을 직접 알 수 있었다. 실제로 미국의 연구에 따르면 가임기 여성의 약 20~40%를 차지하는 것으로 알려져 있다.1) 심지어 50세까지 발생이 80%인 것으로 나타났다. 우리나라도 마찬가지이다. 국민건강보험공단의 연구에 따르면 한국 자궁근종 유병률이 12년간 4배 증가하였고 특히 가임기 여성이 30~40대의 유병률이 가장 크게 증가한 것을 알 수 있다. 즉, 여성에게 있어서 흔한 양성 종양이고 그만큼 그들을 위한 간호의 중요성이 커졌다고 생각하여 위 주제를 선정하게 되었다.
2. 문헌 고찰 (자궁근종)
1. 질병의 원인
자궁근종은 자궁 내 평활근 세포에서 생기는 양성 단일 클론성 종양으로 현재까지 그 원인이 명확히 밝혀지지 않았지만 분자 생물학적 인자(마이크로 RNA, 성장인자, 사이토카인, 케모카인, 및 세포 외 매트릭스성분), 호르몬, 유전적, 여러 인자들이 자궁근종의 발달 및 성장과 관련이 있다는 연구들이 발표되고 있다. 이러한 위험 요인들이 에스트로겐 및 프로게스 테론 수치의 영향을 주어 자궁근종이 발생한다. 또한 유전적 요인도 관여하는 것으로 알려져 있다.
2. 병리기전
섬유성 종양, 섬유종, 근종, 섬유성 근종으로도 알려져 있으며 자궁근육조직에서 느리게 성장하는 양성 종양을 의미한다. 가임기 여성의 약 20%–40%를 차지한다고 알려져 있다. 생식기관에서 가장 흔하게 발생하는 양성 종양이며 50세 이후나 흑인, 임신 경험이 없는 여성, 과체중 여성에게서 호발하는 경향이 있다. 난소 호르몬의 영향을 받기 때문에 임신하는 경우, 호르몬 치료 여성에게 상당히 커질 수 있다. 폐경기 이후 순환하는 난소 호르몬의 양이 급격히 감소하여 종양 크기가 자연적으로작아진다.
출처 : 해피캠퍼스
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