照護一位火災生還者之創傷後反應之護理經驗

Nursing Care on Post-Traumatic Responses of a Fire Survivor

本文主要描述在加護中心照護一位火災生還者的護理經驗。病患因火災吸入過多的濃煙，導致吸入性損傷合併急性呼吸衰竭，被送至加護病房治療，除了呼吸困難症狀外，因親身經歷火災情境導致創傷後反應。筆者藉由觀察、文字會談及陪伴等方式進行相關資料之收集，並加以整理分析後，確立病患有創傷後反應的健康問題。於護理過程中，待個案呼吸狀況穩定後，以同理心、陪伴、傾聽方式，與個案建立良好的護病關係，進而鼓勵個案表達心中感受，並針對問題採取適宜的護理措施，提供專業上的醫療諮詢，在個案轉入一般病房及出院後，持續追蹤個案疾病進展，力求達到持續性與整體性的照護，協助病患獲得身、心、靈之康復，並走出創傷的陰霾，重新恢復正常生活。

This paper describes the experience of nursing a fire survivor in the intensive care unit (ICU). The survivor was sent to the ICU because of an inhalation injury combined with acute respiratory failure. Together with dyspnea, the patient was also experiencing post-traumatic responses. Care providers collected the data through observation and hand-written communication. It was after analyzing the data that we confirmed the patient to be experiencing the health problems associated with post-traumatic responses. The problem was the major focus of our caregiving. A good relationship was fostered with the patient through support and understanding while the patient's physical condition was stabilized. With appropriate nursing intervention and professional medical consultation, the patient's condition improved. In accordance with the physical condition of the patient, which they continued to monitor after the patient's return to the ward and subsequent discharge, the nurses provided continuous, holistic care. The patient recovered from the physical pain and psychological damage, as well as the depression and was able to resume a normal life.