迎向生命的曙光—淺談八仙塵爆事件

Entering the Dawn of a New Life: A Discussion of Life for Survivors of the Formosa Fun Coast Water Park Explosion

溫慧敏(Hui-Min Wen)

《護理雜誌》 63卷1期 (2016/02) Pp. 17-21

https://doi.org/10.6224/JN.63.1.17

摘要

八仙水上樂園粉塵爆炸事件造成近五百人遭受到火焰燒傷，其中有多達百位全身燒傷面積超過20%的重度燒傷病人，北部各醫院承載了台灣有史以來最多人數的大量燒傷病人，醫院投入了許多的人力物力，全國各方也提供支援與協助。此次的燒傷病人多是正值青春年華十幾二十幾歲的年輕人，如此重大的燒傷，使他們需面對生命的威脅與挑戰，產生生理、心理與社會的健康問題，一連串的醫療處置，如清創、植皮、換藥與復健等，引發疼痛、皮膚缺損造成身體心像的改變、肢體活動功能障礙、無助、悲傷、焦慮等都使這些燒傷病人的身心遇到莫大的衝擊，家屬陪伴的過程中，也產生重重的壓力，需給予心理支持、適當的情緒發洩與適當的解釋。歷經重度燒傷的急性期、恢復期與復健期，燒傷病人漸漸恢復，但也即將面對出院後漫長復健路的生活考驗，希望這些傷者能帶著年輕人的勇氣與堅強，勇敢的面對生活上艱難的挑戰，迎向他（她）們的希望人生，迎向生命的曙光。

關鍵字

重度燒傷 ； 燒傷 ； 復健期

並列摘要

A dust explosion at the Formosa Fun Coast water park in Taiwan caused nearly 500 burn injury cases. One hundred of these cases involved burns over more than 20% of the total body surface area. This tragedy inundated hospitals across northern Taiwan with an unprecedented number of burn patients. Significant manpower and medical resources were targeted on related resuscitation and treatment efforts, with support and assistance provided by agencies and organizations nationwide. Most of the burn patients were young people in their teens and twenties, whose severe burns posed the greatest threat and challenge to their lives so far. Furthermore, their experience presented major psychosocial and physical health challenges. Patients received an array of clinical treatments such as debridement, skin grafting, dressing, and rehabilitation. Debilitating pain, skin damage, changes to body image, physical disabilities, helplessness, sadness, and anxiety have not only deeply affected the patients physically and psychologically but also created significant life stresses for their family members / companions, which requires counseling in order to facilitate emotional healing. Although burn patients gradually recover as they pass through the acute, recovery, and rehabilitation phases, they will face the challenges of lifelong rehabilitation after discharge. I hope that these young victims will take courage and be brave and strong in dealing with the difficulties and challenges of daily life and will embrace the future with hope as they enter the dawn of their new life.

並列關鍵字

major burn ； burn ； rehabilitation period

參考文獻

Mandell, S. P., & Gibran, N. S. (2014). Early enteral nutrition for burn injury. Advances in Wound Care, 3(1), 64-70. doi:10.1089/wound.2012.0382

Price, L. A., & Milner, S. M. (2013). The totality of burn care. Trauma, 15(1), 16-28. doi:10.1177/1460408612462311

Rafla, K., & Tredget, E. E. (2011). Infection control in the burn unit. Burns, 37(1), 5-15. doi:10.1016/j.burns.2009.06.198

Rowley-Conwy, G. (2013). Management of burns in intensive and acute care. Nursing Standard, 27(45), 63-68. doi:10.7748/ns2013.07.27.45.63.e7537

Rowley-Conwy, G. (2014). Managemeny of major burns: Rehabilitation and recovery. Nursing Standard, 28(25), 65-70. doi:10.7748/ns2014.02.28.65.e7723