一位褔爾尼埃氏壞疽患者之加護經驗

An Intensive Care Experience of a Fournier's Gangrene Patient

筆者於2013年11月20日至2013年12月7日期間，照護一位褔爾尼埃氏壞疽患者接受清創手術後於加護病房之護理經驗。藉由臨床觀察、會談、直接護理並運用Gordon十一項健康功能型態進行評估，收集個案語言及非語言資料，發現主要健康問題有現存性感染、疼痛的生理問題、身體心像紊亂及焦慮，護理過程中運用主動關懷、同理心及接受的照護技巧，提供個別性的照護並發揮護理的獨特性功能，適時予以正向鼓勵、陪伴與傾聽，協助個案接受身體外觀上的改變，提供完整的護理，使個案對身體術後的改變能轉為正向感受，並能接受身體外觀上的改變，重新面對人生。

The article described the author’s nursing experience of a patient with Fournier's gangrene in ICU after debridement surgery, which lasted from November 20th to December 7th, 2013. The author assessed and collected the patient’s verbal and nonverbal data through clinical observation, interview and direct nursing care, and evaluated the data using Gordon 11 functional health patterns. The following health issues were identified: existing infection, pain, body image disturbance, and anxiety. The author employed nursing techniques such as empathy, acceptance, positive encouragement, accompaniment and listening to provide the patient with individual care and fully utilize the non-routine nursing functions. These nursing techniques assisted the patient to accept physical alterations with positive attitude, and regain the courage to face life.