一位重度燒傷病人的護理經驗

The Nursing Experience of a Patient with Major Burn Injury

燒傷是人類重大創傷之一，本篇是針對一位因工作意外，造成51％全身體表面積之2～3度燒傷的31歲男性病人之護理經驗。在其住院期間，藉由觀察及會談，確立個案健康問題為體液容積缺失、皮膚完整性受損、急性疼痛、身體活動功能障礙及身體心像紊亂等五項，經由完善且符合病人的照護計劃，並透過詳盡的護理指導、換藥時的示教和回復示教、接觸病友及經驗分享等，使個案及家屬學會居家自我照顧，並克服自我認同障礙，成功重返社會、家庭及工作。

Burn is one of the major human traumas. This report described the nursing experience of caring a 31 years old man who suffered flame burn injury of 2-3 degree 51% TBSA. During his hospitalization period, through observation and interview, we identified the patient’s health problems including fluid volume deficit, skin integrity impaired, acute pain, physical mobility impaired, and body image disturbance. Through comprehensive nursing care plans, including teaching, demonstration and returned demonstration, and sharing experience, the patient and his wife learned the skills for home-based self care. In addition he overcame the obstacle of self identity and successfully returned back to society, family, and work.