一位感染腸病毒重症病童之照護經驗

The Nursing Experience of Caring for a Pediatric Patient Infected with Enterovirus

筆者於2010年09月20日至2010年09月25日，照護一位感染重症型腸病毒之病童，經由實際觀察、訪談收集資料，以Gordon十一項健康功能評估確立三項主要問題：（1）咽喉疼痛食慾減低／口腔黏膜破損有關；（2）體溫過高／與腸病毒感染影響體溫調節機轉有關；（3）主要照顧者角色緊張/因病童健康狀況無法預期有關。藉由陪伴、傾聽技巧建立良好治療性關係減輕家屬焦慮，使病童得到適切照護，將腸病毒重症之傷害降低且順利返家。希望此次的護理經驗，不僅限於提升筆者個人的專業能力，將之撰述成文，而能提供其他臨床人員作照護參考。

This paper describes a nursing experience for a pediatric patient who was infected with enterovirus. The nursing period was from September 20 to September 25, 2010. The author collected data through clinical observation and interview. With Gordon's 10 Health Functional Assessment tool, three major nursing problems were identified: sore throat loss of appetite secondary to injured oral mucosa, hyperthermia, and the primary caregiver's role tension because of the patient's unexpected medical status. Through listening and companionship, the author built up a trusting and therapeutic relationship with the family; thereafter, this reduced the family's anxiety, provided the child with appropriate care, and minimized the patient's suffering resulting from the infection. The patient was finally discharged to home. The author hopes that this experience can not only promote the author's professional skills, but also be used as a reference for other clinical nurses caring for similar cases in the future.