一位11歲女童燙傷之護理經驗

本篇旨在描述一位因熱茶燙傷9%的學齡期兒童，護理期間為2007年10月19日至11月5日，運用Gordon十一項健康功能型態做為評估架構，經由觀察、傾聽、會談、溝通與音樂療法等技巧收集資料，歸納分析出有：疼痛、焦慮、身體心像紊亂等健康問題。在護理過程中，筆者運用疼痛控制技巧，教導轉移注意力（如聽音樂），提供燙傷知識的正確認知，主動關懷，陪伴、傾聽、同理、等護理措施介入後，患童會用聽音樂的方法來轉移注意力，使情緒有適當宣洩，並面對開刀所帶來的壓力及情緒反應，能接受燙傷所帶來的外觀改變，進而能維持健康生活型態之目的。

關鍵字

學齡期兒童；燙傷；身體心像紊亂

並列摘要

This article describes a female child who was a victim of a scald caused by hot tea and received nursing care from Oct. 19th to Nov. 5th, 2007. Using Gordon's eleven health functions were used as a structure and data was collected by observation, listening, communication and music therapy. We concluded that the patient's problems fell into four major items: headaches, anxiety, physical distortions and mental distortions. During the nursing process, the author uses techniques that involved pain control, music therapy, education of patient by providing correct knowledge of burns caused by scalding, concern with the patient's situation, companionship, listening and empathy. These helped to shift and reduce her emotional stress with respect to future operations and possible changes to her appearance. In addition, these also helped to keep her to live a healthy life style.

並列關鍵字

school age child ； scald burn ； body image disorder

被引用紀錄

李睿軒、張怡貞、胡芳綺、石惠美、陳麗貞、施美娟（2018）。降低學齡前期兒童於急診接受靜脈注射疼痛指數。健康科技期刊，4(2)，20-34。https://doi.org/10.6979/TJHS.201803_4(2).0002

李銘櫻、余佳紋、楊雅鈞、張鈞竹（2014）。降低學齡前期兒童靜脈注射疼痛之方案。護理雜誌，61(2)，68-75。https://doi.org/10.6224/JN.61.2S.68

江俞瑩、丁心怡、黃素枝（2022）。降低1－3歲住院幼兒靜脈注射重度疼痛率。榮總護理，39(1)，51-59。https://doi.org/10.6142/VGHN.202203_39(1).0006

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一位11歲女童燙傷之護理經驗

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