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題名 | 協助一位921震災截肢患者創傷後反應及身體心像重建之護理經驗=Nursing Experiences of the Post-Trauma Responses and Body Image Reconstruction of an Amputated Woman Due to 921 Earthquake |
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作 者 | 黃慧菁; 劉雪娥; 李秀芳; | 書刊名 | 新臺北護理期刊 |
卷期 | 3:1 2001.02[民90.02] |
頁次 | 頁113-122 |
分類號 | 419.7 |
關鍵詞 | 地震; 截肢; 創傷後反應; Larthquake; Amputation; Post-trauma response; |
語文 | 中文(Chinese) |
中文摘要 | 臺灣921大地震,造成全臺重大的傷亡。對在震災中受傷的個人而言,身體外觀、結構或功能的改變都是個極大的壓力。若不及時處理,將造成其身心無比的傷害。本文探討一位婦人在震災中雙腳受重物壓傷,行左膝上截肢後,對身體心像之改變,出現沈默、哭泣、退縮及自責等行為反應。筆者於護理過程中,運用主動關懷、同理及接受等支持方式,藉由直接護理,取得個案信任,並建立良好護病關係。此外,在家屬的支持與配合下,共同協助個案接受已截肢的事實,學習照顧患肢,並重建正向之自我概念。此護理經驗能提供同仁重現截肢病人的問題,並提供同仁日後照顧之參考。 |
英文摘要 | The 921 earthquake caused serious damage around Taiwan. Those who were injuried during the whole event, experienced great stress due to changes in their body appearance, structure or/and function. A 37-year-old woman showed silence, crying, withdrawal, and self-blaming behaviors when she faced left leg above knee amputation due to be crushed in the earthquake. Based on concepts of caring, empathy, and acceptance, a positive nurse-patient relationship was established through direct nursing care. Nevertheless, support from family helps patient accepts the reality of amputation, learn to perform self-care, and re-build positive self-concept. This experience can help nurses to take care of the amputated patient. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。