Applying Therapeutic Play for a Preschooler during Post-operative Period
劉妍彣(Yen-Wen Liu)；李長菁(Chang-Ching Lee)
學齡前期 ； 治療性遊戲 ； 住院壓力 ； 手術 ； preschooler ； therapeutic play ； hospitalization stress ； operation
|Volume or Term/Year and Month of Publication||
5卷1期（2011 / 05 / 01）
85 - 92
This article describes the nursing care experience of applying therapeutic play for a post appendectomy preschooler. The patient had a Penrose drainage on right lower abdomen at the suture site. The patient screamed at people loudly and made strong physical resistance during dressing changes. Through observation and analysis of the patient's behavior, the nurse recognized that the reactions were caused by bodily harm, pain during procedures, a lack of knowledge of the surgery expectations, fear of the strange environment, and strangers in the hospital. Based on the preschooler's psychosocial, cognitive and physical developmental stage, to communicate with the patient, the nurse applied therapeutic play such as drawing, computer games, role-play, story telling, instructional and projection type games, which helped the nurse to understand how the patient felt and to gain trust. This approach allowed the patient to release emotional pressure related to the surgery and hospitalization and to minimize psychological damage from this experience. The patient subsequently was able to stay calm during the dressing changes.
醫藥衛生 > 社會醫學