照護一位意外燒傷患者之護理經驗

本文為一位患者因意外燒傷面臨劇烈疼痛及身體心像變化。於2019/11/1至2019/12/31，藉由病史收集、身體評估、觀察、會談、病歷查閱及醫療團隊成員討論等方式收集資料，歸納健康問題：疼痛、皮膚完整性受損與低自尊。運用藥物及非藥物疼痛控制、個別性換藥流程及復健自主權，讓個案疼痛獲得緩解；衛教傷口照護及營養攝取，促進傷口癒合；透過語言及非語言，知悉內心想法及感受，陪伴渡過治療過程。建議儘早結合出院準備服務小組及社工師介入，配合陽光基金會舉辦活動，讓個案出院後能與燒傷病友進行交流，獲得更多社會支持與鼓勵，提升心理層面照護。

關鍵字

燒傷；疼痛；低自尊

並列摘要

This article is about a patient facing severe pain and a huge change in his body and mind due to an accidental burn. From 2019/11/1 to 2019/12/31, data was obtained through medical history collection, physical assessment, observation, interview, medical record review, and medical team discussion, to assess the case for health problems. Problems included: pain; impaired skin integrity; and low self-esteem. Interventions included: use of drugs and non-drug pain control; provision of individual dressing change procedures and rehabilitation autonomy to relieve the pain of the case; health education for wound care and nutritional intake to promote wound healing; understand inner thoughts and feelings through language and non-verbal; and accompany through the treatment process, and encourage bravery to face psychological and social problems. A further recommendation is to integrate the discharge preparation service team and social worker intervention as soon as possible. Additionally, cooperation with the Sunshine Foundation to organize activities so that the case can communicate with burn patients after discharge, so as to obtain more social support and encouragement, and to improve psychological care.

並列關鍵字

burns ； low self-esteem ； pain

參考文獻

方昭敏、李易靜、張瓈方(2017)．照護一位塵爆燒傷病人之護理經驗．源遠護理，11(1)，52-59。http://doi:10.6530/YYN/2017.4.1。

洪誼婷、林心怡(2018)．運用Watson關懷理論於一位塵爆燒燙傷病人之護理經驗．彰化護理，25(3)，67-80。http://doi:10.6647/CN.201809_25(3).0010。

黃冠錦、蘇以青、吳姈娟、丘志軒、許心恬(2018)．低自尊之概念分析．榮總護理，35 (1)，104-110。http://doi:10.6142/VGHN.201803_35(1).0012。

溫慧敏(2016)．迎向生命的曙光-淺談八仙塵爆事件．護理雜誌，63(1)，17-21。http://doi:10.6224/JN.63.1.17。

蔡沁羽、張靜鳳、劉姿儀、徐子秦、黃佳瑩、洪瑜蓮(2019)燒傷患者心理社會層面之照護。長庚護理30(2)160~167。http:// doi:10.6386/CGN.201906_30(2).0003。

主題瀏覽