運用Watson關懷理論照顧一位顏面燙傷年輕女性之加護經驗

The Application of Watson's Caring Theory in the Care of a Young Woman With Facial Burns

張晴筑(Chyng-Ju Chang)

《源遠護理》 14卷3期 (2020/11) Pp. 65-70

https://doi.org/10.6530/YYN.202011_14(3).0008

摘要

本文為一位年輕女性因熱油潑灑導致臉及軀幹身體表面積37.5%的燙傷護理經驗。個案歷經傷口疼痛與清創手術壓力，難以接受外觀改變，而出現冷淡、迴避與情緒低落之歷程。護理期間為2017年12月21日到12月31日，筆者運用關懷照護方式與個案建立信任關係，藉由整體性評估，確立個案有皮膚完整性受損、急性疼痛及身體心像紊亂之健康問題。護理過程教導疼痛控制技巧而緩解疼痛，並提供燙傷照護資訊及情緒支持，鼓勵並促進自我接受，以應對事故帶來的變化，使個案從沮喪中重燃信心，接受身體外觀改變，展現自我照護之因應行為，藉此護理經驗分享，提供日後類似個案之照護參考。

關鍵字

燙傷 ； 急性疼痛 ； 身體心像紊亂

並列摘要

This article describes a young female patient who was suffering from the severe burn caused by hot oil. She received nursing care from December 21st to December 31st, 2017. During the treatment, the patient suffered from not only wounds pain, surgical stress, and difficulty of accepting appearance changes. The patient appeared apathetic, avoidant and depression. Through a comprehensive assessment of the patient, we established the following health issues: impaired skin integrity, acute pain, and body image disturbance. During the nursing process, we used pain control techniques to relieve the patient's pain, provided information on wound care, encouraged and facilitate acceptance of self, to cope with the changes that came with the accident. Therefore, regain the patient's confidence and improve both mental and physical health. We hope this nursing experience can serve as a reference provide information for extensive burn patients.

並列關鍵字

burn ； acute pain ； body image disturbance

參考文獻

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