以家庭為中心的急診室過渡期護理

Improving Care for Transitional-Stage Clients in the Emergency Department: A Family-Centered Approach

急診醫療服務有別於其他醫療照護單位，首要在搶救病患生命，急迫混亂的高壓力環境，對身處在其間的病患及家屬而言，因環境因素影響、壓力的負載，使其面臨龐大的身心負擔，容易產生高度緊張、急性壓力、焦慮等身心反應，運用以家庭為中心照護概念與過渡理論可促進成功的急診過渡期照護。以家庭為中心的護理概念是給予全人與全家照護，不分個人價值觀、家庭文化、給予安全就醫環境，同時提供足夠訊息及分享共同決定醫療決策，且協助熟悉急診診療流程，提供與病情相關資訊等照護策略與技巧，並採開放性溝通方式，期望藉由家庭正向支持的力量協助病患恢復健康，並協助家庭有好的調適因應，持續維持良好的家庭功能運轉，以提升病患與家屬之舒適及滿意度。

The focus of emergency departments on resolving immediate threats to patient survival and wellbeing distinguishes their services from those provided by all other hospital departments. The high-pressure environment in the emergency department is a source of significant stress for patients and their families, with some experiencing serious physical and mental impacts that result in high tension, acute stress, anxiety, and other mental and physical reactions. The concepts of family-centered care and transition theory have been shown to help promote a sense of wellbeing and adjustment to unfamiliar experiences. Therefore, these concepts may be applied to help facilitate the successful transition of patients and their families to the emergency department and thus help maintain normal family functions during the transition from the emergency department to other departments.