運用治療性遊戲於一位B型流感病童之護理經驗

Nursing Experience of Applying the Therapeutic Play in a Child with Influenza B

本文是運用治療性遊戲照顧一位學齡前期兒童因B型流感住院的護理經驗，護理期間自2020年6月17日至2020年6月23日，筆者運用Gordon十一項功能性健康型態為評估工具進行整體性評估，藉由觀察、會談等方式收集資料，發現個案有體溫過高、呼吸道清除功能失效、恐懼等護理問題。個案因在住院中面對陌生環境及治療與對醫護人員的恐懼，而有哭鬧及抗拒治療的情形，在照護過程中以個案的喜好來設計個別化的治療性遊戲方式與個案建立信任關係，降低個案對治療的恐懼及增加其配合度。期望藉此護理經驗的分享，可做為日後照護此類型個案之參考。

This article discusses the nursing experience of using therapeutic games to care for a preschool child hospitalized with influenza B. The care was provided from June 17, 2020, to June 23, 2020. Gordon's eleven functional health patterns were employed as an assessment tool to conduct a holistic evaluation. Data was collected through observation, interviews, and other methods, revealing nursing problems such as hyperthermia, ineffective airway clearance, and fear. The child exhibited distress, crying, and resistance to treatment due to the unfamiliar environment, medical procedures, and fear of the healthcare staff. To address these issues, individualized therapeutic games were designed based on the child’s preferences. These games helped establish a trusting relationship, reduce the child's fear of treatment, and improve cooperation. The hope is that sharing this nursing experience can serve as a valuable reference for caring for similar cases in the future.