運用治療性遊戲於學齡前期肺炎病童之照護經驗

The Nursing Experience of Caring by Using Therapeutic Play for a Preschool Child With Pneumonia Infection

本文運用治療性遊戲於一位學齡前期且患有肺炎病童的護理過程。筆者於護理期間自2014年07月29日至2014年08月02日，運用Gorden十一項功能性健康功能型態為評估工具，藉由會談、觀察、治療性遊戲等方式收集個案的相關資料，確立個案主要護理問題有：體溫過高、呼吸道清除功能失效、恐懼。在護理過程中發現個案因身體不適、對陌生環境及未知情境感到恐懼、害怕等退縮行為的增加，因此筆者運用治療性遊戲，以個案喜歡的貼紙及鼓勵方式建立信任感關係，並提供個別性照護來降低個案及家屬的恐懼及住院壓力，使個案能接受治療，提升個案及家屬健康維護能力。期望藉此護理經驗的分享，能提供臨床照護類似個案之參考。

This study documents the nursing process of caring for a preschool child with pneumonia using therapeutic play. During the nursing period from July 29, 2014 to August 2, 2014, the author utilized Gordon's 11 Functional Health Patterns Assessment as an assessment tool, and used other methods such as interviews, observations, and therapeutic play to collect relevant data of the patient. The main identified issues needing nursing care included excessively high body temperature, respiratory clearance function failure, and fear. During the nursing process, the author discovered an increase of the patient's defense and retreat behaviors, and fear of unfamiliar environments and unknown situations due to physical discomfort. Therefore, the author used therapeutic play, stickers that the patient was fond of, and words of encouragement to develop a trusting relationship with the patient. In addition, the author provided individualized care to reduce the fear and hospitalization stress of both the patient and family of the patient, which enabled the patient to receive treatment and also improve the whole family's ability to maintain the health of the patient. It is hoped that the sharing of this nursing experience can be provided as reference for the clinical care of similar cases.