運用Watson理論照顧一位腸病毒幼兒及主要照顧者之護理經驗

An Experience in Applying Watson's Theory in Caring for an Enterovirus-Infected Child and His Primary Caregiver

腸病毒易好發於幼兒身上，重症病例致死率為18%（行政院衛生署，2003，5月12日），本文是運用Watson的十項關懷照護理論，護理一位2歲10個月的幼兒和主要照顧者，在護理過程中利用關懷照護的精神與個案及主要照顧者在互信的基礎上，促進身體的舒適、緩解住院導致的害怕焦慮、給予情緒的表達及支持。讓個案於住院期間身體和心理上達到緩和，主要照顧者也能在護理過程中了解疾病的照顧，減緩住院帶來的壓力，以提供家庭為中心的護理。

Enterovirus is commonly seen in children. Its morbidity and mortality rate is about 18% (Department of Health, the Executive Yuan, 2003). This paper documents the use of Watson's theory in the care of a child aged two years and seven months and his primary caregiver. During the nursing process, the application of care and concern for the child and primary caregiver provided confidence, comfort, and relief of fear and anxiety caused by hospitalization, enabling the patient, during his time in hospital, to make physical and psychological progress. The caregiver was also able to gain an understanding of how to care for a child with enterovirus, which diminished some of the pressure caused by his admission to hospital and placed him and his family at the center of the nursing care.