一位骨盆骨折幼兒及其主要照顧者之護理經驗

A Nursing Experience of a Toddler with Pelvic Fracture and the Main Caregiver

劉郁妘(Yu-Yun Liou) ； 陳婉宜(Wan-Yi Chen) ； 柯幸芳(Hsing-Fang Ko)

《志為護理-慈濟護理雜誌》 11卷6期 (2012/12) Pp. 97-107

https://doi.org/10.6974/TCNJ.201212.0097

摘要

本文為探討一位骨盆骨折幼兒及其主要照顧者之護理經驗。筆者於2010年1月6日至2010年1月31日運用傾聽、觀察、家屬會談、FLACC疼痛觀察評估及Gordon十一項健康功能型態，進行整體性評估，發現個案主要護理問題有急性疼痛、身體活動功能障礙、組織完整性受損及照顧者角色緊張。護理過程中，運用非藥物性疼痛緩解技巧，如角色扮演、轉移注意力等方法緩解疼痛問題；以點滴軟袋及布單自製符合個案的支托物，協助翻身及維持適當肢體擺位，並加強雙下肢肌力及關節活動訓練，以維持肢體功能；協調家庭支持系統，鼓勵照顧者共同擬定及參與醫療計劃，以協助個案早日恢復健康返家。

關鍵字

骨盆骨折 ； 幼兒 ； 主要照顧者

並列摘要

This paper described the nursing experience of a toddler with pelvic fracture and the patient's main caregiver. Under the author's care from January 6 to January 31, 2010, data were collected by listening, observation, family member discussion, FLACC pain observation and the Gordon's 11 functional health pattern assessment. Four nursing problems had been identified as follows: Acute pain, impaired physical mobility, impaired tissue integrity, and caregiver role strain. In the nursing process, several measures were taken to address the issues: non-drug pain control skills was applied such as role played and attention transferto reduce the problem of pain; soft IV bag and cloth were customized according to the patient height as appropriate support; assisted body positioning and maintaining suitable body position; strengthening bilateral lower limb muscle power and joint activities training to maintained limb activity function; coordinated family support system was implemented to provide a complete plan of nursing care; and wound care, and families member were encouraged to participate in health plans.. We wish these implementations would aid the patient to recover and return to daily routine as soon as possible.

並列關鍵字

caregiver ； pelvic fracture ； toddler