協助一罹患葡萄球菌燙傷皮膚症候群嬰兒及其照顧者之護理經驗

Experiences of Caring for an Infant with Staphylococcal Scalded-Skin Syndrome and his Family Caregiver

葡萄球菌燙傷皮膚症候群是一種進展迅速且可致命的疾病，但只要診斷及治療得宜，其預後通常是良好的。在本文中，筆者利用觀察與會談並以主護護士的角色，以Gordon十一項功能健康型態，評估個案及其家庭所面臨的主要護理問題，結果有：家庭治療計畫的處置不當、皮膚完整性受損、照顧者角色緊張等，護理過程中運用Watson人性關懷照護理念為指引，協助評估個案與家屬的問題與需求，與其建立良好的護病關係，進而解決個案的健康問題。期望藉此護理經驗，提供兒科護理同仁臨床照護之參考。

Staphylococcal scalded-skin syndrome is a fast spread and fetal disease. However, if the appropriate diagnosis and treatment can be applied, it is curable. In this case, the author, a primary nurse, applied both observation and interview methods in terms of Gordon’s functional health patterns to assess her patient. The results of nursing diagnosis were ineffective family therapeutic regimen management, impaired skin integrity, and caregiver role strain. Watson’s theory was applied as a guidance to assess the nursing problems and needs of the child and his family caregivers. Through the nursing process with well nurse-patient relationship, the patient revealed improvement in health situation. This nursing care experience can serve as a reference for health care providers and professionals in pediatric nursing.