從護理角度談如何讓兒童遠離性早熟

Keeping Children Away From Precocious Puberty: A Nursing Perspective

讓兒童健康成長是全人健康照護的核心願景，然而高度文明化環境，使兒童暴露在性早熟的風險中，進而可能導致危害身心健康。本文介紹兒童性早熟的定義與治療、綜論天然荷爾蒙與環境內分泌干擾物（又稱人工環境荷爾蒙）的存在、塑化劑塑膠微粒之資訊，彙整預防策略以及護理角色功能。希冀能提供護理專業人員更趨完備更符合時代的性早熟成因、處置與防範之認知，讓他們可以傳遞新知給兒童家庭。

Supporting healthy growth in children is a core objective of health care systems. However, numerous factors in modern society can expose children to risks such as precocious puberty, which may further lead to harm to their physical and mental health. In this article, we summarize the state-of-the-art of knowledge on precocious puberty, including its definition, stages, comprehensive influencing factors, natural environmental hormones, and environmental endocrine disruptors (e.g., plasticizers and plastic products). Additionally, we introduce the treatment and strategies for preventing this condition and highlight how nurses can optimize the care of children at risk in precocious puberty. In sum, the knowledge provided here will help nurses be better equipped to disseminate information regarding precocious puberty to children families.