協助一位受疏忽兒童及其家庭之護理經驗

Nursing Experience of Assisting a Neglected Child and Families

本個案報告乃在呈現協助一位受疏忽兒童及其家庭之護理經驗，筆者以校護的角色，以觀察、會談，並用家系圖、家庭圈、及APGAR家庭功能評估表 (Smilkstein, 1982)評估、收集資料，結果發現其護理問題有：一、親職功能障礙／經濟困難、低社經地位及對孩子的照顧安排不當。二、危害性家庭因應能力／主要照顧者罹憂鬱症。三、個案長期性低自尊／長期受疏忽。因此提供各種可利用資源，協助主要照顧者增加親職功能，教導個案及其家人保持內在、外在環境清潔，增加個案的自尊，之後，個案和其家庭都有明顯的改善，期盼此護理過程及照護經驗能提供社區護理人員、校護或其他關心兒童身心健康和福利者作為參考。

This case study reported the nursing experience of assisting a neglected child and her families. As a school nurse, the writer used both observation and interview skills to assess the case. In addition, the writers further used genograms, family circle, and APGAR’s family assessment (Smilkstein, 1982) for data collection. The results of nursing problems included impaired parenting, disabled family coping, long-term low self-esteem, being neglected. The nursing strategies included improving parenting ability to take care of children, teaching families to keep internal and external environment clean and safe, and improving child’s self-esteem. The child and her families showed improvement after eagerly participating care plan and were confident in overall performance. This nursing experience is helpful for community nurses, school nurses, and other professionals who concern child health and welfare.