運用治療性遊戲於一位罹患噬血症候群學齡前期兒童之加護照顧經驗

許家樺; 馮瑞鶯

doi:10.6224/JN.62.2.96

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P96 - 102

Health & Medical Care > Health Promotion & Hygiene
Health & Medical Care > Social Medicine

DOI： 10.6224/JN

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運用治療性遊戲於一位罹患噬血症候群學齡前期兒童之加護照顧經驗

The Use of Therapeutic Play in the Intensive Care of a Preschool Child With Virus-Associated Hemophagocytic Syndrome

許家樺(Chia-Hua Hsu) ；馮瑞鶯(Jui-Ying Feng)

護理雜誌； 62卷2期 (2015 / 04 / 01) ， P96 - 102

繁體中文 DOI： 10.6224/JN.62.2.96

治療性遊戲；學齡前期；住院壓力； therapeutic play ； preschooler ； hospitalization stress

Abstract │ Reference (13) │ Altmetrics

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Hospitalization is a stressful experience for children that increases their anxiety and fears, generates resistance and noncompliance, and, as a result, delays necessary treatments. Developing an age-appropriate intervention to reduce the hospitalization-related stress perceived by children is an important component of pediatric nursing. This case study used therapeutic play and drawing to care for a virus-associated hemophagocytic syndrome preschooler who stayed in our pediatric intensive care unit (PICU) between 11/13/2012 and 11/19/2012. Stressors faced by the patient included separation from primary caregiver, unfamiliarity with the medical environment and equipment, non-comprehension of the treatment and medication regimens, and loss of control. The patient displayed incorporative behaviors such as crying, screaming, refusing to be touched, and requesting parental accompaniment. Painting and picture books were used as developmentally appropriate interventions to understand the patient's feelings and to provide a means for him to project and release emotions. This strategy successfully assisted the child to overcome the perceived stress of hospitalization and to cooperate with healthcare providers on his treatment.

Reference ( 13 ) 〈TOP〉

王月伶、駱麗華（2006）．治療性遊戲．護理雜誌，53（3），79–83。[Wang, Y. L., & Lo, L. H. (2006). Therapeutic play. The Journal of Nursing, 53(3), 79–83.]
連結：
呂芝慧、傅　玲、李榮芬、吳慶音、林玄昇（2010）．運用治療性遊戲於多發性齲齒幼童之手術全期護理經驗．榮總護理，27（2），171–178。[Liu, J. H., Fu, S. L., Lee, J. F., Wu, C. I., & Lin, S. S. (2010). Perioperative nursing experience of using therapeutic play on a child with multiple dental caries surgery. VGH Nursing, 27(2), 171–178.]
連結：
洪毓鈴、陳季員（2010）．一位學齡前期白血病童住院反應與自主性行為．高雄護理雜誌，27（2），77–87。[Hung, Y. L., & Chen, J. Y. (2010). Responses, and autonomous behaviors of a preschooler with leukemia during hospitalization. The Kaohsiung Journal of Nursing, 27(2), 77–87.]
連結：
張祐瑄、戴玉慈（2011）．應用治療性遊戲於肝臟移植術後學齡期兒童之護理經驗．護理雜誌，58（3，附冊），79–84。[Chang, Y. H., & Dai, Y. T. (2011). Therapeutic play in nursing care: One experience with a achool-age liver transplant recipient. The Journal of Nursing, 58(3, Suppl.), 79–84.] 10.6224/JN.58.3S.79
連結：
張綠怡、蔡綠蓉（2010）．住院兒童之反應及其護理．於陳月枝總校閱，實用兒科護理（六版，175–242頁）．台北市：華杏。[Chang, L. I., & Tsai, L. R. (2010). Nursing care of hospitalized children and their families. In Y. C. Chen (Ed.), Practical pediatric care (6th ed., pp. 175–242). Taipei City, Taiwan, ROC: Farseeing.]
連結：

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