年輕重症病人父母親於加護病房之緊急過渡期的經驗　八仙塵爆事件的故事

The Experience of an ICU Patient's Family Undergoing the Emergency Transition Stage. The Tragic Event of Ba-Sian Dust Explosion

李冠霖(Guan-Lin Li) ； 曾雯琦(Wen-Chi Zeng) ； 蔣立琦(Li-Chi Chiang)

《領導護理》 17卷1期 (2016/03) Pp. 14-26

https://doi.org/10.29494/LN.201603_17(1).0002

摘要

災難護理是現今護理人員的一大挑戰，本研究旨在探討八仙塵爆事件中受傷年輕重症病人之父母親於孩子住進加護病房的緊急過渡時期的心路歷程，以質性研究方法進行本研究，收案對象為北部某醫學中心八仙塵爆事件入住加護病房年輕病人的父母親，藉由加護病房家屬休息室等待期間，以深入田野參與式關懷陪伴與支持為基礎，與其建立信任關係，並運用半結構式進行深度訪談，共完成三位自願接受訪談之父母親。依據質性研究歸納出四項主題：(1)對孩子病況的擔憂；(2)父母對自身感受(3)在意外界的回應；(4)對未來的想法。護理人員深切體驗年輕病人因意外重大傷病的緊急危機過渡階段，父母親的經驗故事與對其家庭之衝擊，將可以設身處地理解他們的照護需求，以及完成父母親總是想維護全家人的健康安適，期望經由本研究結果，作為臨床護理人員照護年輕重大傷害病人父母親之參考。

關鍵字

年輕 ； 重症病人 ； 父母親 ； 過渡期 ； 創傷後壓力症候群

並列摘要

Disaster nursing is a major challenge to today's nurses. This article probes the parents' experiences undergoing emergency transition stage with their severely injured children in critical conditions in the aftermath of an event involving chemical color powder explosion at Ba-Sian Waterpark. The data were collected through a qualitative research method at the ICU of a medical center in Northern Taiwan. The author served as a companion for the family, providing care and support to build a mutually trusting relationship. Three parents of the ICU patients voluntarily accepted semi-structured in-depth interviews. The four major themes, based on the qualitative study, were the parents' worry about the children's conditions, changes of the families and the patients themselves, the interaction between the outside world and themselves, and the future of their injured children. Nurses sincerely understood the emergency transition stage the young patients were undergoing, the tragedy their patients experienced, and the dramatic impacts of this event on their families. With expressed understanding and comprehension, the nurses were able to further empathize the care needs of the patients and their parents, ultimately achieving the parents' expectations of maintaining the whole family's wellbeing and sense of ease. The author expects that this study can be used as a reference for other clinical nurses caring for the parents of young, severely injured patients.

並列關鍵字

Youth ； Critical ill ； Parents ； Transition ； Post-Traumatic Stress Disorder

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