一位嚴重燙傷患童的護理經驗

A Nursing Experience of a Severe Scald Child

周光祺(Kuang-Chi Chou)

《源遠護理》 1卷1期 (2006/11) Pp. 89-97

https://doi.org/10.6530/YYN.2006.1(1).11

摘要

本文是描述照顧一位離島大面積燙傷患童的護理經驗，於92年10月23日至12月13日照護期間，運用Gordon十一項功能評估，發現此次意外除造成患童生理上的不適外，亦發現家人間的衝突且因患童住院後對家中所造成的種種改變及影響，並確立護理問題為：皮膚完整性受損、疼痛、營養狀況少於身體所需、焦慮及家庭因應能力失調等五項護理問題。筆者發揮護理獨立功能，運用治療性遊戲及角色扮演，陪伴患童度過住院之不適期並運用同理心、傾聽、會談和燒傷中心團隊之合作，陪伴家屬自原本慌亂的情緒中重拾照護患童的自信。

關鍵字

燙傷患童 ； 焦慮 ； 家庭

並列摘要

This article describes the nursing care experience of a severely burnt pediatric patient between October 23 and December 13, 2003. Assessment using the Gordon Eleven Nursing Evaluations revealed not only the patient's physical condition, but also the disrupted family relationship from the child's hospitalization. Nursing problems identified were (1) impaired skin integrity, (2) pain, (3) nutrition less than body requirement, (4) anxiety, and (5) family lack of coping skills. The use of play therapy and roleplay, independent nursing functions, was effective in helping the child to adjust to hospitalization. With an empathetic attitude in listening and counseling family members and the support of the entire Burn Center team, the author was able to help the family regained their confidence in caring for the child.

並列關鍵字

scald child ； anxiety ； family