一位多次遭受家庭暴力個案之急診護理經驗

The Nursing Experience of Emergency-Department Care for a Patient Suffering from Multiple Episodes of Domestic Violence

黃郁晴(Yu-Ching Huang) ； 陳素里(Su-Li-Chen)

《長庚科技學刊》 13期 (2010/12) Pp. 43-53

https://doi.org/10.6192/CGUST.2010.12.13.5

摘要

本文描述一位27歲女性遭受家庭暴力至急診就醫之照護經驗。照護期間安排安全、隱密環境會談，在醫護處置、驗傷及通報過程，以觀察、傾聽及會談收集資料，進行生、心、社會及靈性四方面整體評估，確立護理問題爲創傷後反應、無望感、選譯衝突。在全程陪伴及關懷中，終使個案情緒平緩，並衛教暴力預防及發生應變措施，提供家暴相關知識及社會資源，鼓勵個案接受自己，重獲希望感。個案離院後電訪6次，鼓勵正向面對婚姻，評估離婚之可能，二個月後做出不離婚決定，並再勇敢面對婚姻。藉由此文分享，期望對急診護理人員照護家暴個案有所助益，主動提供完整醫療照護，個案不僅能獲得身體需求照顧，心室也感到平靜與安全，積極面對問題及尋求資源。

關鍵字

家庭暴力 ； 急診護理

並列摘要

This article describes an emergency-room (ER) clinical experience of caring for a 27 year-old woman who suffered from domestic violence. During the period of nursing care, we offered a safe and private environment for interviews, medical care, and wound-examination. We informed the Domestic Violence Prevention Center of the situation and collected data through observation, careful listening, and private interviews. Through an integrated evaluation of physiological, psychological, and societal factors, it was determined that the nursing challenges of the case consisted of post-trauma response, feelings of hopelessness, and decisional conflict After nursing care, the patient's emotional state became much calmer. Further methods of support for the patient included providing education for preventing and dealing with domestic violence, providing information about other organizations committed to helping victims of domestic violence, encouraging the patient to accept herself, and helping the patient to regain hope. We maintained contact with her via telephone interviews six times during the two months following her discharge and assisted her in confronting problems with a positive attitude. In the end, she decided not to divorce her husband, but to try to deal bravely with the problems in her marriage. By sharing our experience, it is our hope that this article can be helpful to emergency medical personnel treating victims of domestic violence. Immediate and integrated medical services can help victims of domestic violence to obtain not only physical care, but also proper psychological care. This care includes providing an environment of tranquility and security, and encouraging the victims of domestic violence to face their problem realistically and to actively seek out the help they need.

並列關鍵字

domestic violence ； emergency nursing care