兒童呼吸道感染住院之護理經驗

本文是描述一位因呼吸道感染的學齡前期兒童，住院的護理經驗，護理期問自2012年2月3日至2012年2月7日，筆者運用生理、心理、社會文化、靈性之整體性評估，藉由會談、觀察及身體評估等方式，進行主、客觀資料之收集，確立個案主要護理問題有：1.呼吸道清除功能失效；2.體溫過高；3.恐懼；4.知識缺失等。在護理過程中筆者配合學齡前期兒童認知發展之特性，運用個案喜歡的遊戲、角色扮演及說故事的方式，來紓解個案住院的壓力及焦慮；另加強照顧者照顧能力，降低案母的不安。期望此護理經驗能促使護理人員確認學齡前期兒童之需求，以提升住院期間之照護品質。

關鍵字

呼吸道感染；學齡前期；住院壓力

並列摘要

This case study described the nursing care experience of a respiratory infections in preschool child. The nursing care was from February 3 to 7, 2012, the author use physical, psychological, social culture and spiritual integrity assessment, Subjective and objective data were collected by conversation, observation and physical assessment, etc. The data was analyzed to identify the subject's major health problems: 1. Ineffective Airway clearance; 2. Hyperthermia; 3. Fear; 4. Deficient knowledge. Using cognitive theories with the characteristics of preschool children's cognitive development for relieve the pressure and anxiety of children admission, adopting entertainment had role-play and talking-story play. The author also strengthens parents to take care capacity, and reduced case mother disturbed. By this nursing experience provide practical example for nursing staffs to encourage nurses to identify the needs of pre- school children and improve their quality of care.