性侵害個案之急診護理經驗

本篇報告旨在描述一位17歲未成年女性，在與網友見面時遭到網友加以性侵害，經由父母陪同至急診室驗傷。因遭受性侵害導致急性疼痛、潛在危險性感染、強暴創傷症候群之護理問題。護理期間為2007年2月18日02:00至07:30，運用Gordon十一項功能性健康型態評估項目為評估架構，結果發現個案有（一）急性疼痛；（二）潛在危險性感染；（三）強暴創傷症候群等三個主要護理問題。經給予注射止痛劑、冰敷、採取舒適臥位、教導減輕疼痛的方法；維持會陰的清潔及乾燥、穿著寬鬆及透氣的棉織衣褲；同時鼓勵表達心中感受、提供情緒支持及辨識焦慮來源等護理措施介入後，結果使個案急性疼痛降低，門診複診時傷口無感染，使個案的焦慮得以減輕。

關鍵字

性侵害；急性疼痛；潛在危險性感染；強暴創傷症候群

並列摘要

The main purpose of this report is to describe the nursing experience of caring for a 17-year-old female who was raped after meeting her Internet friend. She came to our emergency room with her parents and a physical examination of her injuries was performed. After using the 11 items of Gordon's Functional Health Pattern Model as an assessment framework, I found that the patient had three main nursing concerns: an acute pain, latent risk of infection and the possible development of rape trauma syndrome. The nursing period was from 02:00 to 07:30 on February 18, 2007 and consisted of giving an anodyne injection, an ice compress, placing her in a comfortable lying position, teaching her methods to alleviate the pain, ensuring the perineum was clean and dry, getting her to wear loose fitting cotton clothing, as well as encouraging her to express her feelings, and providing mood support and identifying the source of anxiety. The patient's acute pain reduced, the wound didn't have any signs of infection during her subsequent visit to the outpatient service and her anxiety was reduced.

並列關鍵字

sexual assault ； acute pain ； latent risk infection ； rape-trauma syndrome

國際替代計量

性侵害個案之急診護理經驗

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