運用Watson關懷理論於一位受家暴婦女之急診護理經驗

Application of Watson's Theory in Caring for a Patient Who Experienced Domestic Violence in an Emergency Department

鄭幸嘉(Hsing-Chia Cheng) ； 葉惠玲(Hui-Ling Yeh)

《志為護理-慈濟護理雜誌》 20卷4期 (2021/08) Pp. 107-116

摘要

本文為一位52歲首次遭受夫家肢體暴力之婦女，剛開始個案隱匿家暴事件，於急診就醫時眼眶泛淚，故引發筆者撰寫動機。護理期間為2020年4月16日19時36分至21時42分，筆者採用實際照護、觀察、身體檢查評估、病歷查閱及後續電話追蹤，確認有急性疼痛、恐懼及焦慮。照護期間提供傷口護理減輕疼痛及提升傷口照護技能，更運用Watson關懷理論提供安全隱密空間，協助驗傷採證及通報流程，全程陪伴、傾聽，減輕個案因害怕再次受傷之恐懼。醫療團隊向個案說明家暴之定義與範疇，提供社會資源，提升自我價值感、引導正面態度面對未來。

關鍵字

家庭暴力 ； 急診護理 ； 恐懼 ； 焦慮

並列摘要

This article presents a case of a 52-year-old woman who suffered physical violence in her husband's family for the first time. Initially, she concealed the domestic violence incident. Upon entering the emergency room, the patient has tears in her eyes, which triggered the author's motivation for writing. The nursing period covers from 19:36 to 21:42 on April 16, 2020. The author uses actual care, observation, physical examination and evaluation, medical record review, and telephone follow-up to confirm acute pain, fear, and anxiety. During the nursing period, wound care was provided to relieve pain and improve wound care skills. The author used Watson's caring theory to provide a safe and private space, assisted in the process of injury examination and evidence collection and notification, accompanied and listened to the patient throughout the process, and alleviated the patient's fear of being injured again. The medical team explained to the patient the definition and scope of domestic violence, provided social resources, enhanced self-worth, and guided a positive attitude in the future.

並列關鍵字

anxiety ； domestic violence ； emergency care ； fear

參考文獻

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