一位頸部膿瘍住院幼兒期病童之護理經驗

A Nursing Experience of a Toddler with Neck Abscess

10.29936/DMFCCHJN.201006.0005

陳雪雯(Hsueh-Wen Chen)；陳貞如(Chen-Ju Chen)；徐瑀謙(Yu-Chien Hsu)

幼兒期 ； 疼痛評估 ； 治療性遊戲 ； FLACC ； toddler ； pain assessment ； therapeutic play ； FLACC

嘉基護理

10卷1期（2010 / 06 / 01）

36 - 46

繁體中文

本文是描述照護一位兩歲幼兒因頸部膿瘍入院進行手術切除之護理經驗，個案與其父母因初次住院及手術治療，面對陌生的環境與疼痛產生不安與害怕之情緒。護理過程中，筆者以非結構性訪談及觀察方式，運用Gordon十一項健康功能型態評估，歸納出個案之護理問題為急性疼痛、焦慮、知識增進的準備度，在護理期間，筆者運用溝通技巧、治療性遊戲及FLACC疼痛觀察量表，建立良好的護病關係、緩解個案之疼痛與不適成、減輕焦慮，提升個案的治療配合度與主要照顧者的照護信心。

This case report describes the nursing process for a toddler with neck abscess. She first experienced hospitalization and surgical operation. Due to unfamiliar environment and pain, she presented emotional disturbance. Gordon 11 functional health pattern was used to assess the child's physical, psychological, social and spiritual needs. Data was collected by unstructured interview and observation. Three health problems were identified: (1) acute pain due to medical treatment; (2) anxiety due to unfamiliar environment; (3) readiness for enhancing knowledge due to lack of experience and inadequate knowledge. Communication technique, therapeutic play, and FLACC were used to establish relationship between nurse and child and to relieve child's pain and anxiety. In addition, we further enhanced the child's compliance of treatment and care-givers' confidence in caring their child.