一位燒傷青年的照護經驗

Nursing Experience in a Young Adulthood with Flame Butn

皮膚是人體主要的天然屏障，一旦受到燒傷，若無良好的傷口照顧及復健治療，將會產生感染及疤痕問題。本文探討一位24歲火焰燒傷的年青人，在住院期間出現的潛在感染、活動障礙、換藥疼痛、營養不足及害怕疤痕等健康問題，於護理過程中主動關懷個案，建立良好護病關係，並且有計畫執行預防感染、姿勢擺位、關節運動、減少換藥疼痛感、增加營養攝取及預防疤痕增生的各項護理措施，協助他在三週內恢復到最佳功能及滿意的外觀。藉此照護經驗，希望提醒護理人員正確傷口照顧觀念，唯有落實執行各項措施，才能協助病患早日癒合傷口，減少疤痕增生機會。Skin is the natural barrier of the human body. Once burned, it might become infected on be scarred problem when no good wound care or rehabilitation is provided.This case study described the nursing care of a 24-year-old male patient who was diagnosed with burn injury during hospitalization. Risk of infection, impaired physical mobility, pain related to dressing change, altered nutrition inadequate for body requirements and pain-related fear experience are five major health problems of the 24-year-old patient. The nurse showed caring in the sence of warmth, personal relationship showed a great deal of care etc. The nurse planned holistic nursing care interventions including infection prevention, positioning, range of motion, reducing pain while changing dressing improving nutritional intake, and prevention of hypertrophic scarring. The patient regain the best physical function and satisfactory appearance within three weeks. By sharing her experience, this case study reminds nurse about concepts of correct wound care. The only way to help patient's wound healing and reduce scarring is actual hand-on nursing interventions.