運用羅氏適應模式於一位嚴重燒傷病患之護理經驗

The Application of Roy's Adaptation Model in the Care of a Patient with Severe Burns

鄭惠瑩(Hui-Ying Cheng) ； 丘周萍(Chou-Ping Chiou)

《源遠護理》 2卷1期 (2008/05) Pp. 75-82

https://doi.org/10.6530/YYN.2008.2(1).09

摘要

本篇個案報告是照護一位嚴重燒傷病患之護理經驗，筆者於護理期間運用羅氏適應模式的護理過程，以觀察、會談及身體評估等方式收集資料，確立個案有皮膚完整性受損、疼痛、身體心像紊亂等護理問題。護理期間，筆者傾聽、關懷並接納其心中感受，減輕個案在治療過程中的不確定感，增加自主性與安全感，協助個案以正向的態度來適應此創傷；透過護理照護，個案已逐漸能調適自己的問題，在生理功能、自我概念、角色功能及相互依賴各方面均能適應成功，並勇於接受燒傷之轉變，進而面對未來之新生活。期望藉由此護理經驗的分享，能提供護理人員對於燒傷病患照護之參考並有所助益。

關鍵字

羅氏適應模式 ； 燒傷 ； 護理經驗

並列摘要

This case report describes nursing experiences using Roy's adaptation model in the care of a patient with severe burns. The authors collected data through observation, interview, and physical assessments. The patient's problems identified included impaired skin integrity, pain, and disturbed body image. In order to assist the patient to adapt to this trauma with a positive attitude, the authors alleviated the patient's sense of uncertainty towards the therapeutic procedures, and promoted her autonomy and safety using listening, caring, and acceptance of her feelings. Through the above nursing care, the patient gradually demonstrated good adaptation regarding physiological functions, self concept, role functions, and interdependence prior to discharge. Now the patient could bravely accept the changes in her life and face her future, and continued with regular follow-up at outpatient. It is expected that this case report can serve as a reference for the nursing care of patients with severe burns.

並列關鍵字

Roy's adaptation model ； burns ； nursing experience