一位學齡前期白血病童住院反應與自主性行為

Responses, and Autonomous Behaviors of a Preschooler with Leukemia during Hospitalization

10.6692/KJN-2010-27-2-8

洪毓鈴(Yu-Ling Hung)；陳季員(Jih-Yuan Chen)

學齡前期兒童 ； 白血病 ； 住院 ； 自主 ； preschool child ； leukemia ； hospitalization ； autonomy

高雄護理雜誌

27卷2期（2010 / 09 / 01）

77 - 87

繁體中文

此個案報告的目的為探討一位學齡前期急性淋巴性白血病童於第二次住院時的住院反應及自主性行為。病童此次入院是為了執行化學治療鞏固期，照護者於病童住院期間藉由參與照護及觀察、溝通等技巧收集資料，從照顧當天起即著手進行行為過程紀錄，再針對紀錄資料加以整理分析歸納而成。結果發現，病童在住院期間的住院反應有哭泣、拒絕、失眠及微笑等；而自主性的行為則為尋求資訊、尋求協助、嘗試操縱及自我控制。照顧者並依據病童行為反應提供合適的護理，以及協助其面對疾病住院的壓力。期盼此次護理經驗能提供未來相關臨床照護的參考。

This case study was to explore responses and autonomous behaviors of a preschooler with acute lymphoid leukemia during the second hospitalization. The purpose of the hospitalization was for consolidation of chemotherapy. Data collected by using process recordings that completed after participating in nursing care, observation, and communication. The findings showed that the child's responses were cry, refusal, sleeplessness, and smile during hospitalization. Autonomous behaviors included information seeking, help seeking, manipulation, and self-control. According to his behavioral responses, we provided nursing interventions which enabled the child to overcome the stress during hospitalization. The findings of this study should provide references for further clinical nursing care.