一位多次遭受家庭暴力的外籍配偶之急診護理經驗

Emergency Nursing Experience of Caring for a Foreign Spouse Suffering from Domestic Violence

10.29494/LN.201803_19(1).0004

彭美蓮(Mei-Lang Peng)；李衛華(Wei-Hua Lee)；賴芊孝(Chien-Hsiao Lai)

家庭暴力 ； 急診護理 ； 外籍配偶 ； domestic violence ； emergency care ； foreign spouse

領導護理

19卷1期（2018 / 03 / 01）

40 - 52

繁體中文

本文描述一位遭受先生暴力相向的越南籍配偶至急診就醫的護理經驗，就醫日期爲2016年1月18日，主訴多次遭受先生暴力毆打，本次因爲頭部外傷至醫院求治。從檢傷開始發現個案坐立不安且焦慮無助，身旁無親友陪伴，運用Watson關懷理論於照護期間建立良好護病關係，安排隱密、安全環境進行醫護處置，協助驗傷採證及通報流程，經由觀察、傾聽、會談來收集資料，確立個案有：皮膚完整性受損、恐懼及個人因應能力失調等健康問題。於陪伴及關懷中鼓勵個案表達內心感受及情緒宣洩，提供家暴相關社會資源，並協助轉介相關防治單位以提供專業及妥善的照護，建議未來急診教育訓練中可擴增保護性個案照護之相關課程，建置標準作業流程，讓同仁接觸到類似保護性個案，有規則可依循，也提供急診護理同仁們於日後照護保護性個案之參考。

This article describes an emergency nursing experience of caring for a Vietnamese woman from multiple domestic violence injuries. The patient was admitted to the emergency room on January 18th, 2016, expressing that she has had several instances of domestic violence with resulting injuries. The patient was admitted to the hospital in this particular instance due to an injury to the head, with initial assessments showing an anxious state and uneasiness with no friends or family around for support. The author applied Watson's caring theory during the nursing care period, and built a trusting relationship with the patient while also providing a safe and secure environment during injury assessments. The police were notified after a collection of evidence of domestic violence. Data was collected through observations, listening and interviews to identify the following nursing issues: impaired skin integrity, fear, and a lack of effective individual ability to overcome struggles. In addition to medical treatment, we also provided physical and psychological support through companionship and care to ease the patient's mood and relieve her of her fear. Domestic violence counseling and social resources were also provided to help transfer her to other organizations that can provide her with necessary and complete resources to improve her situation. We strongly suggest that the training for emergency nursing care should include instructions on how to care for vulnerable patients needing protection, and building a standard process for such cases. It is with hope that this article can be a reference for future cases when attending to patients experiencing domestic violence.

1. 余美蓮(2015)。一位新住民婦女受家庭暴力之急診護理經驗。若瑟醫護雜誌，9(1)，135-145。
   連結：
2. AbuTaleb, N. I.,Dashti, T. A.,Alasfour, S. M.,Elshazly,M,Kamel, M. I.(2012).Knowledge and perception of domestic violence among primary care physicians and nurses: A comparative study.Alexandria Journal of Medicine,48,83-89.
3. Boursnell, M.,Prosser, S.(2010).Increasing identification of domestic violence in emergency departments: A collaborative contribution to increasing the quality of practice of emergency nurses.Contemporary Nurse: A Journal for the Australian Nursing Profession,35(1),35-46.
4. Choo, E. K.,Nicolaidis, C.,Newgard, C. D.,Hall, M. K.,Lowe, R. A.,McConnell, M. K.,McConnell, K. J.(2012).Association between emergency department resources and diagnosis of intimate partner violence.European Journal of Emergency Medicine,19(2),83-88.
5. Devroes, K.,Watts, V.,Yoshihama, M.,Kiss, L.,Schraiber, LB,Deyessa N,Garcia-Moreno, C(2011).Violence against women is strongly associated with suicide attempts: Evidence from the WHO multi-country study on women's health and domestic violence against women.Social Science & Medicine,73(1),79-86.
6. Watson, J.(2004).Nurse-patient interaction: a review of the literature.Journal of Clinical Nursing,14(4),520-530.
7. 內政部家庭暴力及性侵防治委員會(2010,1 月15日)．家庭暴力事件通報被害人性別統計．2016年1月25日取自http://www.moi. gov.tw/1p.asp
8. 古佳玲(2011)。照顧一位受家暴之外籍配偶的護理經驗。領導護理，12(3)，50-60。
9. 李綉惠,李玉蘭,周桂如(2011)。照護一位遭受婚姻暴力創傷後壓力疾患之護理經驗。精神衛生護理雜誌，6(1)，28-36。
10. 徐小惠,吳佳芬(2013)。照護一位接受放射線治療導致皮膚及黏膜損傷個案之護理經驗。志爲護理，25(5)，84-93。
11. 張祐菱,孫美華,周繡玲(2011)。運用Watson 關懷照護理論於一位憂鬱症個案因應燒傷復健期之護理經驗。志爲護理，10(2)，83-90。
12. 黃郁晴,陳素理(2010)。一位多次遭受家庭暴力個案之急診護理經驗。長庚科技學刊，43-52。
13. 蔡宜秀,郭佳薰,許翠華(2014)。照護一位外籍配偶遭受家庭暴力之急診護理經驗。志爲護理，13(5)，108-116。
14. 衛生福利部保護司(2016)．反性別家庭暴力防治資源網．2016年1月20日取自http://tagv.mohw.gov.tw/TAGV12_18_2.aspx
15. 鄭秀瑮(2011)。運用Watson理論於一位遭受家庭暴力男性個案之護理經驗。志爲護理，10(3)，95-104。

1. 蔡毓珍,林任雋,方素瓔(2021)。照顧一位長期遭受家庭暴力致跳樓發生重大外傷個案之護理經驗。新臺北護理期刊，23(1)，111-120。
2. 黃君代,洪楹棋(2020)。一位長期遭受家暴致重鬱症婦女創傷復原之照護經驗。精神衛生護理雜誌，15(2)，51-61。
3. (2023)。膽顫心驚～一位家庭暴力被害人的急診護理經驗。長庚護理，34(4)，130-140。
4. (2024)。提升急診保護性個案處遇作業完整率。新臺北護理期刊，26(2)，74-86。