- 期刊
一位未成年少女遭受性侵害之急診護理經驗
Emergency Nursing Experience for a Sexually Assaulted Underage Girl
摘要
本文描述一位未成年少女遭受性侵害至急診就醫護理經驗，就醫時間2021年6月23日下午18點12分至19點35分，因透過網際網路遊戲，私下約網友在家見面被迫發生性行為而遭受性侵害。個案因創傷產生恐懼不安、無法接納自己且有自我傷害的行為，對周遭人無法產生信任，經由實際照護、會談及觀察方式收集資料，依生理、心理、社會、靈性層面為架構進行評估，確立個案有強暴創傷症候群、急性疼痛、自我殘害等健康問題，藉由與個案建立互信關係，提供隱密空間，依流程進行驗傷採證及通報，透過主動關懷，聆聽協助面對心理創傷，陪伴與支持個案走出創傷陰霾，並提供性侵害防治、自殺防治及急性疼痛照護相關資訊，後續透過電訪追蹤皆有定期回門診，而且逐漸恢復正常生活。本單位未成年遭受性侵害伴隨自我傷害行為案件平均每年1-2件，同仁此類案例經驗不多，期盼分享照護經驗，提供日後此類個案照護之參考。
並列摘要
This article describes the nursing experience in the emergency department for an underage girl who experienced sexual assault. The patient was treated on June 23, 2021, between 18:12 and 19:35. She was forced to sexual activities after arranging a meeting with a netizen through an internet game and was sexually abused. The case expressed fear, anxiety, self-harming behavior, and was unable to trust others around her due to the traumatic experience. Data was collected through direct care, conversations, and observations, and assessment was conducted based on the physical, psychological, social, and spiritual aspects to identify the patient's health issues, including rape trauma syndrome, acute pain, and self-mutilation and so on. By establishing a trusting relationship with the patient and providing a private space, obligatory procedures such as forensic examination and reporting were carried out. Active care was provided to address psychological trauma, accompanied with support and guidance to help the patient overcome the consequence of the trauma. Information regarding sexual abuse prevention, suicide prevention, and acute pain management was provided. Follow-up was conducted through telephone calls, and regular returns to the clinic were scheduled, resulting in a gradual recovery and the patient returned to normal life. On average, our department handles 1-2 cases of sexual abuse among minors coexist with self-harm each year. There is minimal experience among our colleagues in handling such cases, and we hope by sharing this nursing experience, it will serve as a reference when caring for similar cases in the future.