運用Watson關懷照護理論於一位輕度燙傷幼兒之護理經驗

An Experience of Providing Emergency Care on the Basis of Watson's Theory to a Toddler Suffering from Minor Burns

本文為運用Watson關懷照護理論協助一位輕度燙傷病童及案母，滿足身、心、社會需求之護理經驗。幼兒創傷對病童及照顧者均造成衝擊，燙傷意外導致病童身體傷害與疼痛及喪失控制感，也造成案母因而自責，並對自己照顧病童的能力失去信心。藉由「理解個案需求」、「解釋及促進」、「協助舒適」等關懷照護行為，於急診短暫照護過程中，與病童及案母建立互信關係、緩解病童疼痛、促進合作性、恢復病童原有的溝通模式，進而增進病童與案母的照顧能力、重現案母照顧病童之自信。因此，本文提供護理人員於創傷病童急性期照護之參考，不僅運用急救科學於病人生理的照護，更以關懷因素滿足個別的心理、社會需求，以達全人之照護。

This article explores the application of Watson's Caring Theory to a child suffering from minor burns injury and his mother. After the nursing process, their physical and social-psychological needs were met. A trauma accident always affects the child and the caregiver, especially the mother. Burn injury brings physical injury, pain, and loss of control to the child and makes the mother feel very guilty and lose her confidence in her ability to take care of the child. After the caring behaviors had been practiced, relationships of mutual trust were developed between the child, his mother and the primary nurse. In the child, the medical treatments were accomplished, the pain was relieved, and he resumed his communication mode. Finally, abilities to deal with burn injury were also built between the child and his mother. This experience could serve as a reference in the emergency nursing of trauma children. The focus of emergency care is not only applying scientific knowledge in the physical area, but also using the caring behaviors to meet the individual's social-psychological needs.