A Nursing Experience of the Application of Play Therapy to a Preschool Child with Sexual Assaults
陳瑞怡(Rui-Yi Chen)；李香君(Hsiang-Chun Lee)
馬斯洛理論 ； 性侵害 ； 學齡前兒童 ； 遊獻治療 ； Maslow theory ； sexual assault ； pre-school child ； play therapy
|Volume or Term/Year and Month of Publication||
10卷3期（2009 / 12 / 01）
54 - 64
This article described a nursing experience of a 4-year-old preschooler with sexual assaults in the emergency department. The nursing period was from 08:10 to 17:00 on February 25, 2007. With Maslow's theory, the case was assessed via an open interview with the child and the child's grandmother. Based on the child's status, the purpose of the emergency visit, and for the sake of safety and protection, the patient was brought to a private room. Evidences were collected and obtained via further interview and gynecological and obstetrical consultations. Identified major nursing problems were post-traumatic sydrome and parenting dysfunction. Through play therapy, the child was led to tell the happening of sexual assaults. The nursing interventions included not only the examination and treatment of physical injury, but also the provision of a safe and private environment for the child and family to tell the event without psychological concern. The child's family was taught how to protect the child against sexual assaults and utilize social resources to obtain integral and appropriate nursing care. This article shared a personal nursing experience with nurses who will care for similar cases in the future, with the expectation of offering nursing interventions with individual privacy and protection.
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