協助一位家暴個案的急診照護經驗

The Emergency Nursing Experience with a Patient Suffering from Domestic Violence

本文主要是描述一位受家暴婦女至急診室求醫的照護經驗，個案初到急診室時表示自己騎機車不慎跌倒導致外傷，當外傷處理完畢，預開立診斷書時，才向護理人員表示是家暴所傷。筆者運用Watson關懷照護理念，引導個案會談、傾聽個案陳述並觀察收集資料，發現個案主要健康問題有：恐懼、無效性因應能力、無望感。筆者以客觀關懷的態度接納個案各種情緒反應及問題需求，建立信任的治療性關係；並提供安全隱密的環境，給予個案生理及心理上的支持與照護，並轉介給社工，協助處理後續的家庭問題，使家暴受害者得到完善的照護，並勇於面對家暴的後續處理問題。

This article described an emergency nursing experience with a woman suffering from domestic violence. The patient came to the emergency room for help by herself and complained that she injured herself in a fall from her motorcycle. Later after wound care, she confessed to the nurse that in fact her husband abused her. The medical group of emergency care offered immediate protection and isolation measures. We applied Watson's caring philosophy and used the methods of guided interview, listening and observation to collect data, and found that the major health problems of this case included fear, ineffective coping, and hopelessness. We accepted the patient's emotions and replied her questions with an objective attitude, built trust in the therapeutic relationship, and offered a safe environment to ensure the patient's personal privacy and sense of security. We also referred the patient to the social workers so that she could receive complete care and protection, solve the ensuing family problems and avoid domestic violence.