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題名 | 一位腸病毒感染幼兒之照護經驗=A Nursing Experience for an Enterovirus-Infected Childhood |
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作者 | 許郁卿; 于素珍; 林佳蘭; Hsu, Yu-chin; Yu, Su-jane; Lin, Chia-lan; |
期刊 | 弘光學報 |
出版日期 | 20100600 |
卷期 | 59 2010.06[民99.06] |
頁次 | 頁13-24 |
分類號 | 419.75 |
語文 | chi |
關鍵詞 | 腸病毒; 主要照顧者; 兒科照護; Enterovirus; Caregiver; Pediatric nursing; |
中文摘要 | 本文為描述照護一位2歲幼兒期感染腸病毒女童之護理過程。護理期間為2008年6月9日至6月 13日,筆者運用GORDEN十一項健康功能評估為架構,透過會談、遊戲、觀察、身體評估等方式對 個案及主要照顧者進行身、心、靈、社會的整體性評估,確定個案及主要照顧者健康問題為:(一) 口腔黏膜破損/與感染病毒合併症有關;(二)體溫過高/與病毒感染影響體溫;(三)焦慮/病童因身體病 痛、陌生住院環境及各項醫療處置有關;(四)知識缺失/案母對腸病毒感染等相關知識不足。筆者 著重護病關係的建立,提供相關護理措施,給予患童執行口腔護理以降低不適,增加進食量,並提 供案母腸病毒相關資訊,澄清對腸病毒之疑慮與觀念,並鼓勵病童母親參與照顧計畫,以促進對患 童健康維護功能,也提供照顧者支持性的環境,降低主要照顧者的不安並協助個案朝向健康狀態, 提昇住院期間照護品質,終至病童康復出院。 |
英文摘要 | The article described the nursing process in a 2-year-old girl who is infected with Enterovirus, from 9th to 13th June, 2008. The author used by applying GORDEN 11 health functional assessment as a framework. Data were collected by conversation therapeutic play , observation, health assessment in caregiver and patient. There were four major problems :1. oral mucosa damage / associate virus related complications; 2.high body temperature / viral infection affecting the body temperature; 3. anxiety / the stress on the care giver during initial hospitalization of the child; 4. knowledge deficit /care giver who is lack of knowledge on enterovirus infection. The author focused on the establishment of nurse-patient relationship which provided mouth care in order to reduce discomfort and increase food intake, also provided informations and clarified the thoughts and doubts about enterovirus infection which simultaneously encouraged the mother to participate throughout the child caring process along with promoting awareness on functional health maintenance of the childhood. It also establishment a supportive environment for caregiver to reduce anxiety, assisting the childhood toward the recuperating state and enhancing the quality of during hospital. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。