膽顫心驚～一位家庭暴力被害人的急診護理經驗

Frightened: The emergency care experience of caring a domestic violence victim

本文旨在闡述遭受親密關係同居人家庭暴力之被害人的急診護理經驗。照護期間為2020年5月31日01點15分至10點30分，運用生理、心理、家庭、社會及靈性五大層面評估架構，確立主要健康問題為皮膚完整性受損及恐懼。急診照護首先處理個案多處擦挫傷的身體問題，再藉由關懷、陪伴、同理、傾聽，引導闡述遭受言語、精神及身體暴力的實情，抒發不安、恐懼情緒。團隊提供心理支持、資源評估與多方聯繫找到案母，協助報警處理與安置處所，讓個案得以安心安居。急診常為家暴被害人主要的求救場所，急診醫護人員對於家暴防治責無旁貸，建議臨床除制式化的家暴防治教育訓練，更應安排引導式溝通、資源提供與轉介之實作課程，以幫助醫護人員敏銳發現家暴高風險中的被害人，協助其遠離家暴風險、遠離恐懼、獲得重生。

The article describes the emergency nursing experience of a victim of domestic violence. The nursing period extended from 01:15 to 10:30 on May 31, 2020, and the assessment framework included physical, psychological, familial, social, and spiritual dimensions. The identified health problems were impaired skin integrity and fear. During the emergency care process, our focus was on addressing the physical problems, specifically multiple contusions and abrasion wounds. Utilizing caring, companionship, empathy, and active listening, we guided the patient to articulate the details of verbal, mental, and physical violence, allowing she to express anxiety and fear. Our team provided psychological support, conducted resource assessments, and facilitated communication with the patient's mother. We assisted in police procedures and resettlement, aiming to provide the patient with a sense of security and peace of mind. Recognizing that the emergency department is often the primary point of contact for domestic violence survivors seeking help, emergency health care providers play a crucial role in both preventing domestic violence and treating survivors. In addition to formal education and training, the development of clinical courses focusing on guided communication, resource provision, and referral is essential. This ensures that healthcare providers are equipped to identify victims at high risk of domestic violence and empower patients to embark on a new life.