一位新住民婦女受家庭暴力之急診護理經驗

A Emergency Nursing Experience of a Vietnamese Woman with Domestic Violence

葉思好(Su-Yu Yeh)；余美蓮(Mei-Lien Yu)

恐懼 ； 無力感 ； 新住民婦女 ； 家庭暴力 ； fear ； feeling of powerlessness ； immigrant woman ； domestic violence

若瑟醫護雜誌

9卷1期（2015 / 07 / 01）

135 - 145

繁體中文

本文昌在描述一位27歲越南籍配偶，因語言障礙及文化背景的差異問題，遭受家庭暴力至急診室求醫之照護經驗，護理期間為2012年12月01日至2012年12月02日，以Gordon十一項健康功能為評估工具，並採用會談、觀察、傾聽及病歷查閱收集資料，進行身、心、社會及靈性的整體評估，確立護理問題為恐懼、無力感、睡眠剝削。護理期間除給予醫療處置外，護理措施包括全程陪伴、耐心傾聽及主動關懷，讓個案情緒宣洩、協助通報及提供家庭暴力相關知識、社會資源及轉介社工，協助個案度過暴力陰影及處理後續家庭問題，滿足個案身、心、靈需求，恢復家庭正常運作。期望藉此護理經驗能提供日後臨床護理人員照護此類病患之參考。

This article presents the emergency room nursing care experience of a 27-year-old Vietnamese spouse suffering from domestic violence due to language barrier and cultural difference. The primary nursing period extended from December 1, 2012 to December 2, 2012. To identify the main nursing care problem, we made a comprehensive evaluation through physical, emotional, social and spiritual dimensions, by using the Gordon’s functional health assessment mode along with conversation skills, observation, physical examination, and review of medical records. The main problems identified included fear, the feeling of powerlessness and sleep deprivation. During the nursing period, in addition to providing medical care, we performed nursing interventions including the whole-process accompany, patient listening and proactive caring, so that the patient could vent emotionally. We also aided in reporting, provided knowledge concerning domestic violence, social resources and referral to social workers. We helped the client through the shadow of violence and to solve subsequent family problems. Finally, we met the client's physical, psychological and spiritual needs to assist in restoring functional family process. We sincerely hope this case report will be a valuable clinical reference to the nursing faculty.

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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。
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