運用治療性遊戲提昇肺炎學齡前期兒童復原力之照護經驗

The Nursing Experiences of Caring a Preschool Child with Pneumonia by Using Therapeutic Games to Enhance Resilience

楊宜靜(Yi-Ching Yang) ； 吳麗敏(Li-Min Wu)

《長庚護理》 32卷3期 (2021/09) Pp. 95-105

https://doi.org/10.6386/CGN.202109_32(3).0008

摘要

肺炎好發於學齡前期兒童且易造成死亡，故本文運用治療性遊戲於罹患肺炎學齡前期兒童，促進復原力恢復之照護經驗。照護期間為2019年4月18日至4月21日，運用Gordon十一項健康功能進行個案評估，確認個案有體溫過高、呼吸道清除功能失效、恐懼之健康問題。照護過程中，根基於復原力概念以及個案認知發展、喜好來擬定活動，使個案了解體溫變化、促進肺部擴張、痰液排出、配合胸腔物理治療以及對治療抗拒行為減少，協助兒童正向調適住院期間所面臨的壓力與不適，增進自我復原力。

關鍵字

肺炎 ； 治療性遊戲 ； 學齡前期兒童 ； 復原力

並列摘要

Pneumonia often occurs in preschool children and can potentially be fatal This article used therapeutic games to improve the recovery of resilience in a preschool child with pneumonia. This article adapted the Gordon's Eleven Health Function Assessments to evaluate the patient from April 18 to 21, 2019. The health problems included: high temperature, respiratory clearance failure, and fear. During the caring process, the activities based on the concept of resilience as well as the child’s cognitive development and preferences were designed. As a result, the child could understand the changes of body temperature, promote lung expansion and sputum elimination, cooperate with chest physical therapy, and reduce resisting behaviors to treatments. The plan helped the child to cope with pressure and discomfort and enhance self-resilience.

並列關鍵字

pneumonia ； therapeutic play ； preschool children ； resilience

參考文獻

李豫青 (2018)．兒童與青少年之復原力探討．諮商與輔導，390，34-38。[Li, Y. Q. (2018). Discussion on the resilience of children and adolescents. Counseling & Guidance, 390, 34-38.] doi:10.29837/CG

吳麗敏、陳宜坊、陳妤謙、陳寶如(2017)．治療性遊戲之臨床運用．馬偕護理雜誌，11 (1)，7-17。[Wu, L. M., Chen, Y.F., Chen, Y. Q., & Chen, B. R. (2017). Clinical application of therapeutic games. Journal of MacKay Nursing, 11(1), 7-17.] doi:10.29415/JMKN.201701_11(1).0001

林秀玲、陳志賢、戴嘉南、余祥雲 (2007)．家庭變故兒童在遊戲治療中自我療癒歷程之研究．諮商輔導學報，17，1-38。[Lin, X. L., Chen, Z. X., Dai, J.N., & Yu, X. Y. (2007). Research on the course of self-healing of children in family incidents in the game therapy. Journal of Counseling & Guidance, 17, 1-38.] doi:10.6308/JCG.17.01

周宛君、周利娜 (2014)．運用治療性遊戲於一位罹患肺炎之學齡前期兒童護理經驗．新台北 護理 期刊，16(2)，107-116。[Zhou, W. J., & Zhou, L. N. (2014). Use therapeutic games in the care of a preschool child suffering from pneumonia. New Taipei Journal of Nursing, 16(2), 107-116.] doi:10.6540/NTJN.2014.2.011

徐畢卿 (2014)．精神衛生護理研究的新視角 -再訪兒童復原力．護理雜誌，61(1），11-17。[Xu, B. Q. (2014). A new perspective on mental health care research-revisiting the resilience of children. The Journal of Nursing, 61(1), 11-17.] doi: 10.6224 / JN.61.1.11