運用Watson關懷照護理論於一位憂鬱症患者因應燒傷復健期之護理經驗

The Nursing Experience of a Depression Patient with the Application of Watson's Caring Theory during Post-burn Rehabilitation Period

10.6974/TCNJ.201104.0082

張祐菱(Yu-Ling Chang)；孫美華(Mei-Hua Sun)；周繡玲(Hsiu-Ling Chou)

Watson關懷理論 ； 憂鬱症 ； 燒傷 ； 復健期 ； Watson's caring theory ； depression ； burns ； rehabilitation period

志為護理-慈濟護理雜誌

10卷2期（2011 / 04 / 01）

82 - 90

繁體中文

本個案報告是描述一位35歲憂鬱症患者引火自焚，造成頭、頸、軀幹及四肢2~3度嚴重燒傷，筆者運用Watson關懷照護理論爲護理措施指引，改善其復健期之健康問題，並協助建立自信之護理經驗。護理期間爲2008年10月11日～11月12日，藉由傾聽、觀察、溝通與會談技巧收集資料，發現個案有1.身體活動功能障礙2.焦慮之健康問題。在護理過程中提供燒傷照護促使傷口癒合，予護理指導增進肢體活動功能；建立互信之關係，協助抒發內心焦慮，以正向面對燒傷疤痕對身體功能的改變。期望此護理經驗可作爲類似個案之照護參考，增進燒傷病人復健期之居家適應。

This article described a 35 year old patient, with depression, suffered from second to third degree burns to the head, neck, torso and four limbs as a result of self-immolation. The author used Watson's caring theory to guide nursing measures in order to improve the patient's health problems during rehabilitation, and to reestablish the patient's self-confidence. The author collected data through listening, observation, physical assessment, interviews and written communication between October 11th and November 12th, 2008. The patient's nursing problems were identified as (1) impaired physical mobility and (2) anxiety. During the nursing process, burn care was provided to speed up the healing of the wounds. The provision of this nursing instruction promoted the patient’s mobility and limb functions. In addition, a relationship of mutual confidence was established to assist the expression of the patient's innermost anxieties and to strengthen the patient in facing changes in bodily functioning due to scarring. It is hoped that this nursing experience can be a reference when nursing similar cases to improve burn patients' home adaptation during post-hospitalization rehabilitation period.