照護一位塵爆燒傷病人之護理經驗

The Nursing Experience of a Patient with Burn Injury in the Formosan Water Park

方昭敏(Chao-Ming Fang) ； 李易靜(Yi-Ching Li) ； 張瓈方(Li-Fang Chang)

《源遠護理》 11卷1期 (2017/03) Pp. 52-59

https://doi.org/10.6530/YYN/2017.4.1

摘要

2015年6月八仙樂園粉塵爆炸造成百人燒傷，因傷者眾多，故非燒傷專責單位也需肩負燒傷照護病人，本文則是描述一位病人經大量傷患分流收治於非燒傷專責中心，因塵爆燒傷引起身體全身性、複雜性、破壞性及持續性的明顯反應，病人也因為此事件與急性疼痛，出現負面情緒，筆者於2015年6月28日至7月28日藉由觀察、言談及實際照護方式，收集個案身心狀況，再以Gordon十一項功能性健康型態評估，確立主要護理問題分別為一、皮膚完整性受損／與皮膚燒傷及取皮有關，二、急性疼痛／與燒傷患處換藥有關，三、潛在危險性創傷後症候群／與經歷塵爆事件有關，經擬定護理計畫、執行相關護理措施與結果評值後，了解到燒傷病人在住院初期，要面對身體心像改變，也不斷擔心著未來變化，而近年來已有許多文獻詳載燒傷病人身心靈各方面的照護建議，但少有文獻是以非燒傷專責加護中心之照護做說明，期由本文提供護理同仁於日後照護類案時之參考，以提供最適切的護理照護品質。

關鍵字

燒傷護理 ； 疼痛處理 ； 潛在危險性創傷後症候群

並列摘要

This article describes a dust explosion burn patient who was treated for one month in a non-burn specialty medical center. The incident occurred at the Formosan Water Park on June 27, 2015. The explosion caused at least 100 burn injuries and required triage of some patients who were admitted to non-burn specialty medical centers. The patient's physical and mental health data were collected by observation, conversation and nursing care procedures. Nursing assessment used the Gordon's caring theory to establish three nursing problems: (1) impaired skin integrity related to skin burns and graft, (2) acute pain related to dressing change of the affected area, and (3) risk for post-trauma syndrome related to dust explosion events. Evaluation of this care experience revealed that the patient experienced tremendous metal and physical image change throughout the progression of treatment, including concerns for life change afterwards. Generous literature addressed the burn patients' physical and mental health care for burn specialty hospitals; however, was limited available for non-burn specialty medical centers. The author shares this care experience to increase awareness of pertinent care for burn patients.

並列關鍵字

burn injury ； acute pain management ； risk for Post-Trauma Syndrome

參考文獻

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