一位遭受性侵害已婚婦女之急診護理經驗

A Nursing Experience of Caring for a Married Woman with Multiple Sexual Assaults

本文探討一位已婚婦女被長期性侵害之急診護理經驗。個案因參加同事聚餐後被同事兄長性侵，且因個案丈夫入獄服刑，故加害人趁機威脅個案須繼續與其發生性關係，否則將告知其夫此事，性侵長達一年之久，直到個案丈夫出獄，加害人告訴他個案已懷孕一事，個案才向丈夫說明性侵經過，且在丈夫陪同報案後至本院急診採證。照護期間運用紐曼系統模式為評估工具。藉由會談，觀察及電話訪問，於2010年11月19日至12月19日期間收集相關資料進行分析，確立個案健康問題，包括強暴創傷症候群及個人因應能力失調。依健康問題提供合宜的個別護理措施，包括鼓勵表達心中的感受與情緒疏發，傾聽心中感受，提供支持與相關社服資源，協助個案以正向態度面對新生活，走出性侵陰霾，並透過電訪，個案逐漸恢復生活。希望藉此個案報告之經驗，提供護理同仁日後照顧類似個案之參考。

This article examines the nursing experience of caring for a married woman who suffered repeated assaults by a coworker's brother over one year. The sexual assaults happened during the period of time when the victim's husband was in jail. The victim found she was pregnant because of this misfortune and shared her experience with her husband. She was brought to the emergency department by her husband for evidence collection. The author collected data using the Newton System Model as an assessment tool from November 19 to December 19, 2010. The identified health problems were posttraumatic stress disorder symptoms and an inability to cope. The individual nursing measures included encouraging the victim to express and ventilate internal feelings and emotions, listening to the victim's expression of internal feelings, providing support and resources related to social service, and assisting the victim in facing life with a new positive attitude and getting out of the shadow of sexual assault. Through a phone follow up, the victim gradually recovered her life. The author hopes that this case report can serve as a reference for other nurses who care for similar cases.