一位遭受家庭暴力女性之急診護理經驗

A Female Domestic Violence Victim’s Emergency Department Experience

本文描述一位遭受家庭暴力女性於急診室求診的護理經驗。照護期間為2014年01月08日16點29分至20點02分，因個案同居人長期工作不穩定、借貸及染毒，衍生暴力問題。筆者藉由觀察、會談、傾聽及身體評估收集相關資料，確認個案問題有：急性疼痛、恐懼、無效性因應能力。筆者運用Watson關懷照護理論與個案會談，提供隱密安全的護理環境，協助減輕生理的疼痛感及建立信任的護病關係。以客觀同理關懷的態度接納個案的負面情緒並鼓勵發洩情緒，適當轉介社工協助面對家暴後續的家庭問題，提供家庭暴力相關知識及社會資源介入。藉由護理措施介入後，個案能說出疼痛減輕的方法、內心恐懼感降低及提出有效的因應措施。希望藉由本篇報告能提供急診護理人員面對家庭暴力個案之照護參考。

This paper describes the care of a female domestic violence victim who sought treatment from the emergency department. Nursing care was provided from 16:29 to 20:02 on January 8, 2014. Violence by the patient’s co-habiting partner was triggered by his long-term job instability, debts, and drug addiction. After collecting relevant information through observation, counseling, listening, and physical assessment, the author confirmed that the patient had the problems of acute pain, fear, and ineffective coping skills. Adopting Watson’s Philosophy of Nursing and case counseling, the author provided a confidential and safe nursing environment, assisted the patient in alleviating physical pain, and established a trust-based nursing relationship. The author displayed an objective, empathetic, and caring attitude by accepting the patient’s negative emotions and encouraged her to express her feelings. In addition, the author referred the patient to an appropriate social worker to help her cope with her family issues after the domestic violence, and provided her with domestic violence-related information and social resource intervention. Through nursing intervention, the patient was able to discuss the methods she adopted for alleviating pain and reducing fear, and to propose effective coping measures. This paper can serve as a reference for emergency room nurses when providing nursing care for victims of domestic violence.