運用治療性遊戲，提昇肺炎學齡前期兒童復原力之照護經驗

The Nursing Experiences of Caring a Preschool Child with Pneumonia by Using Therapeutic Games to Enhance Resilience

肺炎好發於學齡前期兒童且易造成死亡，故本文運用治療性遊戲於罹患肺炎學齡前期兒童，促進復原力恢復之照護經驗。照護期間為2019 年4 月18 日至4 月21 日，運用Gordon 十一項健康功能進行個案評估，確認個案有體溫過高、呼吸道清除功能失效、恐懼之健康問題。照護過程中，根基於復原力概念以及個案認知發展、喜好來擬定活動，使個案了解體溫變化、促進肺部擴張、痰液排出、配合胸腔物理治療以及對治療抗拒行為減少，協助兒童正向調適住院期間所面臨的壓力與不適，增進自我復原力。

"Pneumonia often occurs in preschool children and can potentially be fatal This article used therapeutic games to improve the recovery of resilience in a preschool child with pneumonia. This article adapted the Gordon's Eleven Health Function Assessments to evaluate the patient from April 18 to 21, 2019. The health problems included: high temperature, respiratory clearance failure, and fear. During the caring process, the activities based on the concept of resilience as well as the child’s cognitive development and preferences were designed. As a result, the child could understand the changes of body temperature, promote lung expansion and sputum elimination, cooperate with chest physical therapy, and reduce resisting behaviors to treatments. The plan helped the child to cope with pressure and discomfort and enhance self-resilience."