照顧一位川崎氏症學齡前病童及其家屬之護理經驗

A Nursing Experience of Caring for a Pediatric Patient with Kawasaki Disease

本文旨在描述一位川崎氏症學齡前病童及其家屬之護理經驗，護理期間為2012年11月6日至11月13日。運用Gordon十一項健康功能型態為評估工具，藉由觀察、會談及身體評估等方式收集資料，確立個案之護理問題為體溫過高及口腔黏膜改變，以及案母出現照顧者角色緊張。藉由建立良好的治療性人際關係，提供個別性的護理措施，使病童得到適切的照護，主動提供關懷、陪伴、傾聽案母所表達的焦慮並提供情緒的支持。希望藉此護理經驗能提供臨床護理人員照護此類病童之參考。

This paper describes a nursing experience of caring for a pediatric patient with Kawasaki disease and the patient's family. The period of nursing care was from November 6 to 13, 2012. The Gordon 11 Functional Health Assessment guidelines were used for assessment. Data were collected through direct observation and interview with the patient. The main nursing problems were hyperthermia, altered oral mucous membrane, and caregiver strain. The author established a therapeutic relationship with the patient, provided individualized nursing care, offered companionship to the patient's mother (caregiver), and encouraged the patient's mother to express her anxiety through emotional support. This article can be used as a reference for nurses caring for similar patients.