照護一位患有蕁麻疹之學齡期兒童的護理經驗

A Nursing Experience of an Elementary School Child with Urticaria

張翠茹(Tusi-Ju Chang) ； 梁蕙芳(Hwey-Fang Liang)

《長庚護理》 24卷4期 (2013/12) Pp. 463-472

https://doi.org/10.6386/CGN.201312_24(4).0011

摘要

本文主旨在探討照護一位患有蕁麻疹之學齡期兒童的護理經驗。筆者於2012年6月29日至7月13日照護個案，此期間以兒童的生理、認知發展、社會心理發展等為評估基礎，以觀察、會談等方式收集資料，透過直接照護及身體評估，確立個案的主要健康問題，包括有皮膚完整性受損、睡眠形態紊亂、焦慮及照顧者角色緊張。針對問題，給予的照護重點包括依個案的喜好，運用治療性遊戲方式於護理過程中，提供照護知識與技能，達到自我調節；藉由良好的護病關係，傾聽、陪伴，以同理心、接受的態度，鼓勵個案及主要照顧者表達其情緒，獲得對蕁麻疹較正確的認識、照護及預防，提升主要照顧者的照護能力，進而降低不安與擔憂的壓力，使個案獲得完整性照護，達成適應的目標與促進健康狀態。

關鍵字

蕁麻疹 ； 學齡期兒童

並列摘要

The purpose of this case study was to describe the nursing experience of taking care of an elementary school child with urticaria. The caring period of time was from June 29 to July 13, 2012. The child's physical, cognitive, social, and psychological development had been assessed by using observations and interviews. Through direct care and physical examinations, the primary health problems identified included impaired skin integrity, disturbed sleep patterns, anxieties, and strains from caregiver's role. The nursing process focused on applying therapeutic games based on client's habits and providing knowledge and skills to achieve self-adjustment. Through improved nurse-patient relationships, listening, and companionship, the child and his primary caregiver were encouraged to share their emotions with nurses and also obtain accurate knowledge about urticaria and ways to care and prevent it. The primary caregiver's caring abilities was improved and the child's anxieties and pressures were relieved. The completeness of nursing care successfully achieved the goal of maintaining the patient's health.

並列關鍵字

urticaria ； elementary school child