運用Watson理論照護一位下肢開放性骨折幼兒之護理經驗

Applying Watson's Theory to Caring for a Child with Open Leg Fracture and His Primary Caregiver

本文運用Watson十項關懷照護理論照顧一位因意外傷害導致下肢開放性骨折幼兒及其主要照顧者，護理過程中利用Watson的理論，進行護理評估，確立個案護理問題有：疼痛、焦慮及睡眠型態紊亂；主要照顧者護理問題有：照顧者焦慮/對於個案治療及癒後不清楚及照顧者角色負擔等。筆者運用Watson十項關懷照護理論作為護理措施指引，評估個案及母親身心社會層面的需求，進而促進個案身體的舒適、減輕住院的焦慮，以及母親情緒的紓解。護理人員在護理過程中，體認關懷的呈現，在護理目標的達成後，確認護理的價值與希望。

This article describes the use of Watson's theory to care for a child with an open leg fracture and his primary caregiver. The author used this approach to assess the needs of the patient and his caregiver. Using Watson's theory for guidance, the patient's main problems were identified as pain, anxiety, and sleep disturbance. The caregiver's problems were anxiety and fatigue due to caring for the child. The goals of the intervention were to promote comfort, alleviate anxiety, and soothe the caregiver's emotions. During the nursing process, the author gained insight into goals, values and aspirations of nursing care. (Tzu Chi Nursing Journal, 2007; 6:6, 136-143.)