一位反覆疥瘡感染病童之母親的護理經驗

The Nursing Experience of a Mother Caring for a Child with Recurrent Scabies Infection

本文是描述一位在短期間內，全家除案夫外皆反覆疥瘡發作，而面臨多重精神壓力的母親，個案在門診時呈現哭泣、否認、主訴「為什麼又來了？」等負面情緒，壓力大到使得正在哺餵母乳的個案，奶水量逐日遞減，由原本一天一千多c.c.的奶量，銳減至一天剩餘兩百c.c.左右。筆者於照護期間2013.02.13－2013.04.30運用生理、心理、社會、靈性層面進行評估，藉由護理與角色功能的介入，發現個案有（一）知識缺失／疥瘡感染、處置及預防再感染之相關知識缺乏，（二）照顧者角色緊張／反覆感染、同事壓力及家庭支持不足。照護期間筆者以電訪、案子住院時訪視、短訊關心、傾聽、實際的居家疥瘡護理指導及心理支持，陪伴個案一同渡過孩子罹病的過程，協助疾病獲得控制及改善，進而走出疥瘡的陰霾，重拾生活品質。

The article described a the nursing experience of a breast-feeding mother, who was suffering from multiple psychological stress, since her entire family, aside from her husband, experienced recurrent scabies infection. The patient exhibited negative emotions like crying, denial and despair at the outpatient department, and the overwhelming stress had resulted reduced milk production from 1,000 c.c. per day to 200 c.c. per day. The nursing period lasted from February 13rd to April 30th, 2013. The author assessed the patient on physiological, psychological, social and spiritual level, and with interventions of nursing and role function, the following issues were identified: 1) knowledge deficit on the handling and prevention of recurrent scabies infection; 2) caregiver role strain caused by recurrent infection, peer pressure and family support deficit. The author utilized interview, phone interview, text message, listening, on-site scabies prevention guidelines and psychological support to accompany the patient through her child’s treatment, and to assist in disease control and improvement. The patient eventually rid the recurrent scabies infection and regained quality life. (Tzu Chi Nursing Journal, 2015; 14:3, 93-102)