照顧一位性侵害被害人的護理經驗

Nursing Experience of Caring for a Sexual Assault Victim

性侵害不僅是犯罪案件，更是一種嚴重侵害人權的行為，被害人大都受強暴創傷症候群的影響。本文探討一位年輕成年女性被陌生人性侵害之後，在生理上有雙手腕疼痛、作夢、失眠、消化系統與生殖系統等傷害；而心理上有憤怒、哭泣、自責、害怕、變沉默及怕獨處等情形；社會、人際關係上失去信心及缺乏安全感，有性功能失調、與異性獨處困難、人際互動障礙等；整體狀況以哭訴來表達。筆者以觀察法會及會談法，收集個案從90年5月1日至90年8月10日的相關資料，寫成行為過程記錄。依個案的需要提供隱密、人性化診療環境，並優先處理，建立信任關係，鼓勵發洩、傾聽個案表達內心感受，適時給予個案肯定增髓其自信心，提供區醫療相關計息及社福資源等。最後個案能順利完成蒐證、驗傷、治療的流程，並與筆者建立信任關係，向筆者傾訴被性侵害的心路歷程，並運用相關知識及資源，了解、接受自己被性侵害的事實，逐漸走出創傷，恢復自信心、重新找到生活的重心與人生目標。

Sexual offenses are not only crimes but also serious violations of human rights. Most sexual assault victims suffer from rape trauma syndrome. This paper presents an example of the syndrome. A young adult female rape victim suffered physically from wrist pain, nightmare, insomnia, and gastrointestinal and genital dysfunction. She also had psychological problems, including anger, weeping, guilt, fear, silence and fear of being alone, as well as social problems, including loss of confidence, lack of security, sexual dysfunction, and difficulty in heterosexual relationships, etc. From May 1 to August 10, 2001, the author, through establishing a private and humane environment, encouraging abreaction, listening, reinforcing the self-confidence of the victim, and providing relevant medical information and welfare resources, successfully built up a trustful relationship with the victim, and assisted her in achieving recovery from the rape trauma syndrome. The present report is an account of the author's experience in helping this sexual assault victim through the syndrome.