一位塵爆灼傷個案之照護經驗

Experience of Care for a Patient with Dust Exposure Burns

本文為灼傷60%之22歲女性，遇粉塵意外，筆者幫助面臨傷口癒合、創傷後反應、面對社會重建等之護理經驗。護理期間2015年6月27日至7月27日，運用Gordon十一項功能性健康型態評估工具，由主動關懷、傾聽、同理支持、歸納有：身體心像改變、疼痛、創傷後反應等問題。筆者提供疼痛控制技巧、轉移注意力(喜歡聽佛經)、按摩等，使病患理解未來的治療，分享內心感受，轉換正能量以達重返社會家庭。對護理人員應具相關專業及提供病患重生信心，故引發筆者動機。期間筆者發現病患容易焦躁不安，需家人陪伴，希望此類病患在會客時間上，能給予彈性會客，達到陪伴及安撫的目。 This article describes the nursing experience of caring for a 22-year-old woman who experienced dust burns to 60% of her body. The author helped the burn patient through the experiences of wound healing, posttraumatic reaction, and social reconstruction. During the nursing period- June 27th to July 27th, 2015- Gordon’s 11 functional health patterns were used for assessment, and care was supplemented with active care, listening, and empathy. The symptoms noted for the patient included physical and mental changes, pain, and posttraumatic reaction. The author typically employs pain control techniques, diversions (e.g., listening to Buddhist scriptures), and massage (Cukor et al., 2014), among other techniques, and enables patients to understand future treatments, share their inner feelings, and harness positive energy to reintegrate themselves socially with their family. Nursing staff should have the relevant professional knowledge and provide patients with confidence; this was the author’s motivation. The author finds patients easily become restless and require accompaniment by their family. The author hopes nursing staff can be flexible in planning meeting times to accommodate this wish and appease patients.