大風吹，吹什麼～蒸氣吹吹樂

I'll Huff, and I'll Puff, and I'll Blow Them All Down!

葉淑梅(Shu-Mei Yeh) ； 林秀蘭(Hsiu-Lan Lin) ； 周玲旭(Ling-Shu Chou) ； 簡英雅(Ying-Ya Chien)

《榮總護理》 34卷4期 (2017/12) Pp. 375-379

https://doi.org/10.6142/VGHN.201712_34(4).0006

摘要

呼吸道感染是兒科常見疾病，常採蒸氣吸入治療協助排除炎症反應所產生的氣管內痰液，成效取決於蒸氣噴霧粒子的大小及病童能否緩慢的深呼吸。護理師雖已於治療前先說明及引導，但使用時病童仍會害怕而抗拒躲避，導致治療效果欠佳，引起親子關係緊繃。筆者依病童喜好選擇畫畫、貼紙或蓋印章等方式，自製圖像紙，利用吹倒圖像動作，成功的轉移病童注意力達到蒸氣治療目的，同時也避免親子之間的衝突發生，改善親子關係；而護理人員也因陪伴遊戲，與孩子們建立了良好的護病關係。本創新案「大風吹，吹什麼～蒸氣吹吹樂」加強了病童執行蒸氣吸入治療的意願，家屬及護理人員的滿意度均達100%。希望此創新可推廣至全國需蒸氣吸入治療的兒童使用，以提升照護品質。

關鍵字

蒸氣吸入 ； 噴霧治療 ； 治療性遊戲

並列摘要

Respiratory tract infection is a common disease in children. Inhalation therapy is often used to facilitate the expectoration of phlegm in the airway caused by the inflammation process. The effect of the treatment largely depends on the particle size inhaled, and whether the patient can breathe slowly and deeply as instructed. Despite guidance and education given by nursing staff prior to treatment, most children are still reluctant to receive inhalation therapy due to fear and anxiety, resulting in ineffective treatment and even tension between parents and children. To facilitate treatment, we asked children to draw or use stamps and stickers to create pictures. They were then asked to blow the pictures down during inhalation therapy. The children were distracted from the previously frightening experience, and were able to complete the course of treatment effectively. There was less tension between parents and children, and an improved nurse-client relationship was established. Furthermore, willingness to receive inhalation therapy increased after this innovative procedure was introduced. The satisfaction rate of family and nursing staff was 100%. We hope this innovative procedure can be applied nationally to all children who require inhalation therapy to increase the effectiveness and quality of treatment.

並列關鍵字

inhalation therapy ； steam inhalation ； aerosol therapy ； therapeutic play

參考文獻

中央健康保險局．健保住院人數2013 年．取自http://www.mohw.gov.tw/CHT/DOS/DisplayStatisticFile.aspx?d=12018&s=1

呂芝慧、傅玲、李榮芳、吳慶音、林玄昇(2010)。運用治療性遊戲於多發性齲齒幼童之手術全期護理經驗。榮總護理。24(2)，171-178。

林嘉玲、王亞妮、蔡秀敏(2013)。創新思維在護理實務之運用。護理雜誌。60(2)，97-102。

陳月枝校閱(2008)。實用兒科護理學。臺中:華格那。

陳月枝校閱(2011)。兒科臨床護理處置規範。台北:藝軒。