一位嚴重燒傷患者恢復期之護理經驗

Nursing Experience for a Patient with Severe Burns during the Recovery Period

張雅棓(Ya-Pou Jang) ； 林佩昭(Pei-Chao Lin)

《高雄護理雜誌》 28卷2期 (2011/08) Pp. 67-77

https://doi.org/10.6692/KJN-2011-28-2-7

摘要

本文為一位嚴重燒傷患者經歷創傷癒合與復原，面對出院、重返社會之護理經驗。筆者於97年3月29日到97年4月26日護理期間運用會談、觀察、身體評估等方式收集資料，經整體性評估後發現護理問題包括：急性疼痛、身體活動功能障礙、身體心像改變。護理過程中筆者以傾聽、主動關懷、同理及支持等技巧與個案建立良好護病關係，介入措施諸如身心照顧、鼓勵表達並接納其情緒、痛苦和不恰當的行為反應；協助個案女友與家人參與個案照護幫助其接納受損容貌，並轉介社工提供相關資源和自我照顧技巧，使個案能逐步適應出院後的生活，增加調適及因應能力以面對漫長的復健過程。

關鍵字

燒傷 ； 恢復期 ； 身體心像

並列摘要

This case report described the nursing experience of a patient with severe facial and other burns and the adaptation to the injury during the recovery period after critical care in the intensive care unit. From March 29 to April 26 in 2008, the author collected the data through interview, observation, and physical assessment. According to the obtained result, the patient's health problems included: (1) acute pain, (2) impaired physical activities, and (3) body image disturbance. The author established a healthy nurse-patient relationship through listening, initiative care, empathy and support. The author provided nursing interventions such as physical and psychological care, encouraging the patient to express and accept his emotions, distress and inappropriate behavior. Furthermore, the author discussed this with his family, especially with his girlfriend as to how to care for the facial burn scars. In addition, the patient was referred to a social worker, a pastor for advising, and was offered self-care skills to cope with the change in life, increasing the ability to deal with the long-term rehabilitation after discharge.

並列關鍵字

burn ； recovery period ； body image disturbance