運用 Watson 理論於一位頭部外傷病患及其主要照顧者之護理經驗

Using Watson's Theory in a Nursing Experience of a Head Injury Patient and Her Primary Caregiver

本文旨在探討運用Watson理論於一位頭部外傷病患及其主要照顧者的護理經驗。照護期間自2008年3月14日至2008年3月22日，運用整體性評估、會談及觀察技巧收集個案及主要照顧者在生理、心理、社會及靈性方面之健康問題，發現個案主要有體溫過高、身體活動功能障礙，而主要照顧者有知識缺失及照顧者角色緊張等問題。在照護期間筆者除扮演照護者外，也擔任連絡者、諮詢者、指導者與傾聽者角色，並且運用Watson理論即涵蓋科學與人文、知識與技巧的治療性護理活動，協助個案及主要照顧者獲得更高層次之身、心、社會及靈性的健康。

The case study described a nursing experience regarding a head injury patient and her primary caregiver applying Watson’s theory. From March 14 to March 22 in 2008, the patient was assessed by holistic physical examination, through means of interviews and observations, to collect the patient and her primary caregiver’s physical, mental, social, and spiritual issues. The primary health problems of the patient had being identified as hyperthermia and impaired physical mobility. In addition, her caregiver also had deficient knowledge and role strain regarding to health issues. The author enacted the roles not only a primary nurse, but also a connector, a consulter, an instructor and a listener; furthermore, Watson’s theory had been applied in conjunction with therapeutic nursing activities which included science, humanities, knowledge and techniques, assisted both the patient and the caregivers to achieve higher state of health in terms of physical, mental, social and spiritual aspects.