受婚姻暴力婦女之急診護理經驗

Nursing Experience for a Victim of Marital Violence

本文為一位長期經歷婚姻暴力女性之急診照護經驗。經由傾聽、觀察、會談等方式，收集個案生理、心理、社會及靈性等方面資料，個案主要健康問題為急性疼痛、恐懼、無效性因應能力。護理遇程中，提供安全、隱密的環境，增加安全感，運用同理心之方式傾聽與溝通，鼓勵說出內心感受。此外，協助個案輔介家暴暨性侵防治中心，並提供婚姻暴力相關知識與社會支援。護理措施介入後，個案的疼痛減輕、降低恐懼感感並能提出有效因應方法，使個案可以勇敢面封問題，道一步幫助其重建生活重心及人生目標。

This article reports the nursing experience for a female victim who suffered from long-term marital violence. A nursing assessment was conducted through active listening, observation, and interview. Collected data included the patient's physiological, psychological, social, and spiritual aspects. Three main health problems were identified: acute pain, fear, and ineffective coping ability. For patient security, the patient was provided with a safe and private environment. With empathy and actively listening, the patient was encouraged to express all internal feelings. In addition, the patient was referred to the Violence and Sexual Assault Prevention Center. The patient was provided with marital violence related information and social support. With the nursing interventions, the patient’s suffering and fear lessened. The patient was able to find effective coping strategies to the problems, further rebuilding the focus and goals of life.