照護一位被疑似愛滋病帶原者性侵個案之急診護理經驗

The Nursing Experience of a Woman Who Was Sexually Assaulted by a Man Suspicious of Being HIV Positive

涂怡如(Yi-Ju Tu) ； 郭佳薰(Jia-Shun Kuo) ； 許翠華(Tsui-Hua Hsu)

《志為護理-慈濟護理雜誌》 14卷1期 (2015/02) Pp. 74-84

摘要

本文探討一位被疑似愛滋病帶原者性侵個案之照護經驗，護理期間為2011年8月27日13時10分至17時15分。個案受到性侵後自行到急診，護理人員立即安排隱密安全環境，協助驗傷及採證，並透過直接護理、觀察及會談等方式，進行身、心、靈、社會整體性評估，確認個案有「急性疼痛」、「皮膚完整性受損」、「焦慮」等健康問題。筆者以Watson關懷理論為基礎，指導個案緩解疼痛之放鬆及按摩技巧，運用模型教導傷口的照護及注意事項，並鼓勵表達感受及教導焦慮處理方法，強化支持力量及引導正向思考，重建個案自我價值；與社工共同介入提供相關社會資源及後續追蹤，讓個案能逐漸走出創傷。

關鍵字

性侵害 ； 焦慮

並列摘要

This article described the experience of caring a woman who was sexually assaulted by a man suspicious of being HIV positive. The period of nursing care was from 1:10 to 5:15pm on August 27, 2011. She presented herself to the emergency room after the assault. We arrange safe environment and assisted triage to facilitate evidence collection process immediately. A holistic assessment including physical, psychological, social and spiritual aspects was carried out to collect data through direct care, observation and interviews. We identified major health problems including acute pain, impaired skin integrity, and anxiety. We taught her relaxation massage skills to help alleviate pain, as well as wound care techniques and precautions based on Watson’s theory of caring and care model, respectively, Furthermore, she was encouraged to express her feeling; techniques of anxiety management and guidance for positive thinking were provided to enforce a supportive power and rebuild self worth. We also collaborated with the social workers in resource allocation and follow-up. The patient was finally able to overcome trauma.

並列關鍵字

anxiety ； sexual assault