照顧一位化學性灼傷病人復健過程之護理經驗

Nursing Experience for Electric Burn Patient in Rehabilitation stage

本文為照顧一位化學物質灼傷個案於復健過程中的護理經驗，護理期間自94年8月20日至94年9月21日。個案因遭受妻子潑灑硫酸導致全身灼傷面積3度64%化學性灼傷，筆者藉由觀察及會談方式收集資料，發現有皮膚完整性受損、身體活動功能受限、身體心像紊亂及照顧者角色緊張等健康問題。照護期間在醫療團隊專業照顧下傷口範圍漸漸縮小，配合護理指導保護不穩定皮膚減少再次傷害；安排肢體活動計畫及良好擺位，增進肢體最大活動範圍及恢復身體最佳功能；同時筆者也透過精神科醫師及社工師照會，促使個案與案妻採正向溝通以改善原本緊張關係，提供社會資源協助個案度過危機回歸社會。

The purpose of this article is to describe a nursing experience with a chemical burns patient. Cases result of lead sulfate and splashed his body burned an area of 3 degrees 64% chemical burn. The author talks through observation and data collection methods, found that impaired skin integrity, functional limitation of physical activity, body image disturbance, and caregiver role strain problems. During the medical team under the professional care of the wounds gradually narrowed, arrangements physical activity plans, increase physical activity and the restoration of the biggest best physical function, the psychiatrists and social workers help his wife improve communication between the two sides originally tense relations, the provision of social resources for assistance to tide over thecrisis, the return to society.