照護一位婦女遭受婚姻暴力併輕度頭部外傷之急診護理經驗

The Care Experience of a Female Victim who Suffers from Marital Violence and Mild Head Trauma

本文描述一位婦女長期處於婚姻暴力下，所造成身心傷害至急診就醫之護理經驗。筆者於2012年5月16日10：00至18：00照護期間，經由觀察、會談、傾聽、查閱病歷等方式收集資料，以Gordon十一項功能性健康模式做整體性評估，確認個案的主要護理問題有疼痛、知識缺失、失望、恐懼等四個護理問題。筆者藉由聆聽音樂演奏、教導放鬆技巧來轉移對疼痛之注意力；以口語化說明頭部外傷注意事項，教導傷口換藥技巧並回覆示教，來提升自我照護技巧；介紹「珍愛人生」影片劇情、運用社會資源，陪同個案觀賞每種植物所展現不同的生命力，讓個案體會生命無價與希望；提供安全隱密的環境及家暴相關知識、教導自我保護技巧、聆聽音樂緩解個案的恐懼不安情緒。

This paper described the care experience of a female victim who had been suffering from long-term marital violence and came into the emergency room with physical and psychological trauma. Data is collected through observation, interviews, listening, and medical records review during the care period from 10:00 to 18:00 on May 16, 2012. Furthermore, a holistic assessment is performed using Gordon 11 healthy functions evaluation to confirm the main nursing problems, including pain, the lack of knowledge, disappointment and fear. Listening to music and relaxation has helped patient to divert attention from pain. The head injury and wound care instruction is given orally to enhance patient's self-care skills; moreover, an instruction on how to change dressing is also given to enhance the preparedness of self-care knowledge. By introducing the movie "Precious", the use of social resources and by demonstrating the resilience of plants, patient once again experiences the pricelessness and potential in life. In addition, we provide a safe and private environment, as well as the knowledge of domestic violence and self-protection skills. We also encourage patient to listen to music to ease fear and anxiety.