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一位車禍創傷後壓力症候群青少女個案之護理經驗

Nursing Experience on a Female Teenager with Car-Accident Induced PTSD

摘要


本文旨在描述一位青少女車禍左腳碾壓傷之創傷後壓力症候群護理經驗,護理期間為2013年05月20日至06月30日,運用Gordon十一項功能性健康型態做為評估架構,與個案互動過程中透過觀察、傾聽、會談及溝通等技巧收集資料,分析出個案有:創傷後壓力症候群、疼痛、身體心像紊亂之健康問題,照護期間除了執行創傷護理外,並藉由運用同理心安撫情緒、主動關懷陪伴與止痛劑緩解疼痛,使個案能減輕疼痛及增進正向的心理感受,達到身、心舒適和健康,逐漸恢復日常生活功能,早期康復面對未來生活。照顧創傷後壓力症候群又同時為青春期個案是護理一大挑戰,筆者期望藉此護理經驗,提供護理人員照顧此類個案的參考。

並列摘要


The article described a nursing experience of a female teenager with post-traumatic stress disorder (PTSD) caused by a run-over injury to her left foot. The nursing period lasted from May 20 to June 30, 2013. Using Gordon's 11 functional health patterns as framework, the author collected data through clinical observation, listening, interview, and communication, and the analysis revealed the following health issues: post-traumatic stress disorder (PTSD), pain, and body image disturbance. In addition to trauma nursing, the author used empathy to clam the patient's emotions, active companionship, and analgesics to alleviate the patient's pain and enhance positive psychological feelings, attain physical and psychological comfort and health, gradually regain daily life functions, and rehabilitate to face future life. It was a significant challenge for nurses to take care of adolescent patient with PTSD. By sharing the nursing experience, the author would like to provide a reference for nursing personnel when attending to similar cases.

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