透析病患憤怒情緒爆發之防範與處置

Preventing and Managing Angry Outbursts from Hemodialysis Patients

末期腎病患者必須定期到醫院治療，依賴透析機器以維持生命。因生理不適帶來的壓力，易有情緒波動，如果無適當疏解方式容易引發怒氣，甚至演變成破壞或傷害他人之暴力行為。這些行為問題持續出現，除造成第一線照護者的身心傷害外，甚至可能影響工作人員士氣，進而降低照護品質。本文說明憤怒發生的因素，預防病患憤怒爆發原則，更進一步提供暴力事件的因應與危機處理訓練原則，以期能提供臨床參考。

ESRD patients depend on the hemodialysis machine to live. Most individuals experience a decreased capacity with emotional fluctuations, including anger. Violence is a behavior intended to attack or injure someone and always occurs with angry outbursts. Caring for patients prone to outbursts is frustrating for the dialysis staff. In this article, we address the precipitating factors towards anger and a strategy to prevent angry outbursts and intermittent patient violence.