親密關係暴力之急診照護經驗

Emergency Care Experience of the Intimate Relationship Violence

林慧茹(Hui-Ru Lin) ； 江以薰(Yi-Hsun Chiang) ； 陳怡蒨(Yi-Qian Chen)

《高雄護理雜誌》 37卷2期 (2020/08) Pp. 82-93

https://doi.org/10.6692/KJN.202008_37(2).0008

摘要

本文為一位受親密關係暴力的年輕女性之急診照護經驗。護理期間於2014年4月9日08點33分至16點30分，筆者經由傾聽、會談及身體評估等方式收集個案生理、心理、社會和靈性層面資料，發現個案在「臺灣親密關係暴力危險評估表」（TIPVDA）分數高達10分，屬高危險組，確立個案有疼痛、恐懼、無力感等護理問題。照護過程中筆者透過主動自我介紹，安排安全、隱密的照護環境，以同理心來接納個案負面情緒，發揮專業知識提供衛教，建立治療性人際關係，減輕心中恐懼，會診社工提供相關社會資源，使個案懂得利用社會資源獲得協助，提高對危機的敏感度，勇敢的面對親密關係暴力，並在電訪中得知已經重回職場重建新生活，正向的走出親密關係暴力陰影。

關鍵字

親密關係暴力 ； 急診護理 ； 疼痛 ； 恐懼 ； 無力感

並列摘要

This article is an emergency care experience for a young woman who was subjected to violence from her partner in an intimate relationship. During the period of care, from 08:33 to 16:30 on April 9, 2014, the author collected information on physical, psychological, social and spiritual aspects of the case through listening, interviews, and physical assessment, and found that the case was an example of ＂Taiwan intimate partner violence.＂ The Risk Assessment Form (TIPVDA) is used for this high-risk group, and has a range of scores of 10 points. The problem is that pain, fear, and powerlessness in such cases might interfere with valid reporting of the incident, so during the care process, the author introduced a safe and intimate care environment through self-introduction, accepting the negative emotions of the case with empathy, providing professional knowledge to enhance the patient's education, and establishing a therapeutic interpersonal relationships to relieve fear in the heart as well as provide relevant social services from social workers. Consultation with social workers enabled the patient to learn how to use social resources herself to get help, improve her sensitivity to the crisis, and bravely face intimate relationship violence. A follow-up telephone interview revealed she had returned to the workplace to rebuild a new life, and was moving out of the shadow of intimate partner violence.

並列關鍵字

intimate violence ； emergency care ； pain ； fear ； powerlessness

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