嚴重燒傷病人護理處置

Major Burn Trauma Management and Nursing Care

大面積燒傷是一嚴重創傷且具生命威脅的皮膚損傷，對於病人生理、心理、社會文化及靈性層面造成極大衝擊，甚而影響其健康生活品質感受。為此本文之目的在於增進護理人員對於複雜燒傷病理生理變化評估與處置的新知。本文系統性整理國內外燒傷照護的研究及臨床照護指引，內容涵蓋燒傷後立即性評估、燒傷後全身反應與護理、燒傷傷口照護與敷料應用、心理支持與復健計畫，期望提供臨床護理人員以實證為基礎的照護決策依據。

Major burn injury is one of the most serious and often life-threatening forms of trauma. Burn patients not only suffer from the physical, psychological, social and spiritual impacts of their injury but also experience considerable changes in health-related quality of life. This paper presents a review of the literature on the implications of previous research and clinical care guidelines related to major burn injuries in order to help clinical practice nurses use evidence-based care guidelines to respond to initial injury assessments, better manage the complex systemic response to these injuries, and provide specialist wound care, emotional support, and rehabilitation services.