照護一位新住民面對家暴及多重創傷之護理經驗

Experience of Providing Care to a New Immigrant Facing Domestic Violence with Multiple Traumas

10.6142/VGHN.202203_39(1).0011

賴佑姍(You-Shan Lai)；顏儀瑾(I-Chin Yen)

新住民 ； 家庭暴力 ； 多重創傷 ； 個人因應能力失調 ； new immigrants ； domestic violence ； multiple traumas ； ineffective individual coping

榮總護理

39卷1期（2022 / 03 / 01）

96 - 102

繁體中文

本文描述一位21歲新住民礙於語言障礙及文化差異，遭受家庭暴力，產生負面想法及無力感的感受，病人自住家2樓跳下，造成身體多處創傷骨折接受手術後的護理經驗，照護期間為2019年7月30日至8月15日，以Gordon十一項功能健康型態評估，採用觀察、身體評估、傾聽及病歷查閱等方式收集資料，確立主要護理問題為急性疼痛、身體活動功能障礙及個人因應能力失調。照護過程介入跨團隊合作共同擬訂照護計畫；給予藥物及非藥物治療降低疼痛；復健師介入積極復健，改善身體活動功能障礙問題；透過轉介社工尋得家屬支持，協助心理調適及處理社會問題，修正病人負面想法，恢復自信，順利出院。建議臨床照顧新住民併多重創傷病人可運用跨團隊合作模式，由多位專業人員以病人為中心共同評估，提供融合雙方文化差異之適切照護。

This article describes the nursing experience of caring for a 21-year-old new immigrant who suffered domestic violence due to language disability and cultural differences, resulting in negative feelings and feelings of powerlessness. She jumped off her building from the second floor of her house, which caused multiple traumas and fractures. Nursing care was provided from July 30 to August 15, 2019. Gordon 11 functional health assessments were used to collect data through observation, physical assessment, listening, and medical history review. The results revealed the following health problems: acute pain, impaired physical function, and ineffective individual coping. The nursing process involved cross-team cooperation to jointly formulate a care plan; providing medication and nonpharmacological therapy to reduce pain; interventions by rehabilitation therapists for active rehabilitation to improve physical dysfunction; seeking support from family members through referral to social workers; and assistance for improving mental health and coping with social problems. These measures would help the patient correct negative thoughts, increase self-confidence, and enable smooth discharge from the hospital. Clinical care for new immigrants with multiple traumas should be provided using a cross-team cooperation model implemented by a number of professionals. The team should collaboratively evaluate the patient and provide appropriate care that integrates cultural differences.

1. 吳瓊洳,蔡明昌(2017)。新住民雙重文化認同與生活適應之研究。嘉大教育研究學刊，39，1-32。
   連結：
2. 林鈺嫺,蘇家,胡瑞桃(2018)。照護一位車禍多重骨折術後病人之護理經驗。長庚護理，29(2)，282-293。
   連結：
3. 謝臥龍,劉惠嬰,黃志中(2017)。解析跨國婚姻路上親密暴力的婚姻本質與權力關係。高雄師大學報 : 教育與社會科學類，42，1-20。
   連結：
4. Huang, F.,Driga, A.,LeGuerrier, B. E.,Schmitz, R.,Hall-Lavoie, D. M.,Kostaras, X.,Chu, K. P.,Pituskin, E.,Watanabe, S. M.,Fairchild, A.(2016).Supporting patients with incurable cancer: Backup behavior in multidisciplinary cross - functional teams.Journal of Oncology Practice,12(11),1123-1134.
5. Karcioglu, O.,Topacoglu, H.,Dikme, O.,Dikme, O.(2018).A systematic review of the pain scales in adults: Which to use?.The American Journal of Emergency Medicine,36(4),707-714.
6. Sullivan, C. M.(2018).Understanding how domestic violence support services promote survivor well-being: A conceptual model.Journal of Family Violence,33(2),123-131.
7. 周子妍,林佩儀,劉千禎(2020)。一位多次遭受家暴婦女之急診照護經驗。澄清醫護管理雜誌，16(4)，79-87。
8. 林慧茹,江以薰,陳怡蒨(2020)。親密關係暴力之急診照護經驗。高雄護理雜誌，37(2)，82-93。
9. 趙梅景,鄭慧萍,官千意(2018)。以跨團隊整合模式照護意外所致多重創傷病人之護理經驗。台大護理雜誌，14(1)，18-30。
10. 衛生福利部保護服務司 (2020，5 月 14 日 )．家庭暴力通報事件被害人案件類型及籍別統計。https://dep.mohw.gov.tw/dops/cp303-59326-105.html

1. (2024)。一位新住民女性遭家庭暴力致氣胸於急診之護理經驗。領導護理，25(4)，107-120。