- 期刊
運用跨領域團隊照護一位學齡期厭食症病童之護理經驗
Nursing Experience of a School-aged Child with Anorexia by Using a Cross-Disciplinary Care
摘要
本文為照護一位罹患厭食症（anorexia）病童的照護經驗，護理期間為2018年4月16日至4月25日，筆者利用觀察、會談及主動關懷，並應用羅氏適應模式理論評估病童及其家庭所面臨的主要健康問題有：營養改變／少於身體所需與食物攝取不足有關、身體心像紊亂／與體重增加對身體外觀負面感受有關、家庭因應能力失調／與家族成員間無效的溝通模式有關。護理過程中與病童及案父母建立良好護病關係之外，採個別性照護，鼓勵全家齊心面對，降低彼此緊張關係；設計符合病童的治療性遊戲，協助學習正確的認知與健康促進；另運用跨領域團隊的合作，形成良好的治療聯盟，共同解決病童身心問題，降低案父母照護的緊張焦慮，及提升其照顧病童知能，達到提升體重的目標。期望藉此護理經驗，作為兒科病房護理人員照顧此類病童與案父母之參考。
並列摘要
This article describes the nursing experience of caring for a patient with anorexia. The period of nursing care was from April 16 to April 25, 2018. Based on the collection of personal medical data, physical assessment, and interviews, Roy's adaptation model evaluation revealed the health problem of altered nutrition to be less than bodily requirements, along with body image disturbance and ineffective family support. During the period of care, a new relationship was established between the patient and her parents, and the family received help in adjusting to stress and coping with the process of illness. Subsequently, therapeutic play was designed to help the patient to cope with stress. Moreover, patient centered care was provided by using cross-disciplinary care, thus reducing the anxiety of the patient and her family. Finally, to address the patient's anorexia, the family received help in improving their quality of life. This experience can serve as a care reference for similar patients.