運用治療性遊戲照護一位腎病症候群學齡前期病童之照護經驗

Nursing Experience of Using Therapeutic Play to Reduce the Stress of a Preschool Child with Nephrotic Syndrome

陳千琪(Chian-Chi Chen) ； 陳倩芳(Chien-Fang Chen) ； 莊小玲(Hsiao-Ling Chuang)

《榮總護理》 33卷3期 (2016/09) Pp. 320-326

https://doi.org/10.6142/VGHN.33.3.320

摘要

本文描述運用治療性遊戲，協助一位腎病症候群學齡前期兒童緩解住院壓力的過程。照護期間為2012年12月1日至12月8日，以參與式觀察方法收集資料、紀錄與兒童及家屬間互動，共得7篇行為過程紀錄並加以分析，結果發現個案的壓力有分離焦慮、侵入性治療恐懼、失去控制感及不遵從行為。因此，筆者依據學齡前期兒童認知發展特質與需求，將情緒宣洩、指導性與生理健康促進性遊戲融入護理措施中，協助兒童紓解內在衝突與壓力，建立信任與增加自我控制感，進而協助個案順利接受治療，增進在住院期間及出院後的正向適應能力。

關鍵字

學齡前期 ； 治療性遊戲 ； 住院壓力 ； 腎病症候群

並列摘要

This article describes the process of using therapeutic play to reduce the stress of a preschool child at a hospital. Data were collected through participant observation and interviews between December 1 and 8, 2012. Seven processing regarding the reaction of the child and the interaction between the child and the family were analyzed. The results indicated that the child's stress of hospitalization included separation anxiety, fear of invasive treatment, and loss of control. On the basis of preschool children's cognitive development characteristics, the author used emotional outlets and incorporated instructional and physiologically enhanced play into the nursing process to assist children in relieving internal conflicts and stress, thereby improving self-confidence and self-control. Such play could help children accept various treatments and promote children's adaptation during hospitalization and after discharge.

並列關鍵字

preschooler ； therapeutic play ； hospitalized stress ； nephrotic syndrome

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