一位厭食症青少女之學校衛生護理經驗

本文描述一位高中女學生厭食症之學校衛生護理經驗，自2020年12月7日至2021年3月8日，筆者經健康史詢問後，透過提供主動關懷陪伴、會談與傾聽、查閱健康資料卡、並進行精神科五大層面評估後，發現個案健康問題出現：營養少於身體所需、個人因應能力失調及家庭因應失能。筆者執行定期會談、營養指導、家庭成員結盟與投入溝通、促進家庭照護技巧及壓力因應，並且再結合醫療資源照護個案，讓個案進而改善健康狀況。盼此校園照護經驗分享，可提供實務資訊讓學校護理師於照護厭食症個案之參考。

關鍵字

厭食症；青少女；學校衛生護理

並列摘要

This case report describes the experience of the author as a school nurse caring for a female adolescent with anorexia nervosa. From December 7, 2020, to March 8, 2021, the author collected information about the patient's health through active accompany and interviews with appropriate listening, reviewing health information documents, and conducting a psychiatric assessment from five major aspects. The patient's health problems included malnutrition (less than body requirements), ineffective individual coping, and ineffective family coping. The author conducted regular meetings and provided support on nutrition, family relationships, communication skills, and stress coping, and connected to medical resources to care for this case. The case's body weight was recovered and she could readjust her school life. Her health condition become improved. Hope this experience may provide practical information for school nurses as a reference to care for a client with anorexia nervosa.

並列關鍵字

anorexic nervosa ； female adolescent ； school health nursing

參考文獻

吳張瑀、曾美智、陳志道（2020）．飲食障礙症簡介與其合併的身體症狀．家庭醫學與基層醫療，35（5），135-143。[Wu, C. U., Tseng, M. C., Chen, C. D.(2020). An introduction to eating disorders and associated somatic symptoms. Family Medicine & Primary Medical Care, 35(5), 135-143.] https://doi.org/10.29477/TNDSM5.201206.0004

Fuglset, T. S. (2021). Is set-shifting and central coherence in anorexia nervosa influenced by body mass index, anxiety or depression? A systematic review. BMC Psychiatry, 21(1), 137. https://doi.org/10.1186 /s12888-021-03120-6

Gaudiani, J. L. (2019). Sick enough: A guide to the medical complications of eating disorders. Routledge. https://doi.org/10.1002/0470013443.ch10

Hughes, E. K., Poker, S., Bortz, A., Yeo, M., Telfer, M., & Sawyer, S. M. (2020). Adolescent and parent experience of care at a family-based treatment service for eating disorders. Front Psychiatry, 11, 310. https://doi.org/10.3389/fpsyt.2020. 00310

Mascolo, M., Geer, B., Feurstein, J., & Mehler, P.S. (2017). Gastrointestinal comorbidities which complicate the treatment of anorexia nervosa. Eating Disorders, 25(2), 122-133. https://doi.org/10.1080/10640266.2016.1255108

國際替代計量

一位厭食症青少女之學校衛生護理經驗

全文下載

主題瀏覽