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| 題 名 | 運用復原力於憂鬱症女性遭受家庭暴力之急診護理經驗=Emergency Nursing Experience from Applying Resilience to a Depressed Female Patient Suffering from Domestic Violence |
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| 作 者 | 紀宜伶; 吳曄薰; 黃蘭迪; | 書刊名 | 領導護理 |
| 卷 期 | 25:2 2024.06[民113.06] |
| 頁 次 | 頁66-79 |
| 分類號 | 419.821 |
| 關鍵詞 | 復原力; 憂鬱症; 家庭暴力; 急診護理; Resilience; Depression; Domestic violence; Emergency nursing; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202406_25(2).0006 |
| 中文摘要 | 本文為一位 28 歲憂鬱症女性初次遭受家庭暴力的急診護理經驗,個案先前 已多次自傷入院,此次照護期間為 2022 年 3 月 5 日 06 時 36 分至 09 時 00 分, 護理期間運用生理、心理、社會及靈性之整體性護理評估,藉由會談、觀察、 傾聽、身體檢查等方式收集資料,確立主要健康問題有急性疼痛、復原力障 礙、無效性因應能力。筆者為急診護理師,在接觸被家暴者過程中,發現個案 對親密暴力的不知所措、慌亂及驚恐反應與不知道發生暴力危險,即時通報向 外求援的重要性,除給予醫療方面協助及促進生理舒適之外,引發筆者想協助 個案擺脫親密暴力,改善其生活品質想法。在急診室擁擠吵雜環境當中,給予 安排隱密環境隔絕聲音干擾,讓個案能較為放鬆情緒壓力有助於溝通會談。個 案剛入院處於警戒、低落情緒中,筆者運用同理心與尊重,專注傾聽個案描述 想法及感受,透過建立信任治療性關係及復原力運用,協助個案能緩解身心的 不適及進行醫療處置,主動提供關於家庭暴力護理衛教、相關注意事項及社會 資源,期望以此護理經驗提供急診第一線護理人員參考。 |
| 英文摘要 | This article is about the emergency room nursing experience of a 28-year-old woman with depression who experienced domestic violence for the first time. The patient had been admitted multiple times previously due to self-harm. The nursing care took place on March 5, 2022, from 06:36 to 09:00. During the nursing period, a holistic nursing assessment incorporating physical, psychological, social, and spiritual aspects was utilized. Data was collected through interview, observation, active listening, physical examinations. The main nursing problems identified include acute pain, impaired resilience, and ineffective coping abilities. As an emergency room nurse, the author observed the patient's perplexed, distressed, and fearful reactions to intimate violence. In addition to providing medical assistance and promoting physical comfort, the nurse emphasizes the importance of seeking help immediately and reporting violence to ensure the patient's safety. This encounter sparked the author's desire to assist the patient in breaking free from domestic violence and improving her quality of life. In terms of the crowded and noisy environment of the emergency room, arrangements were made to provide a private and quiet space to reduce auditory disturbances, allowing the patient to relax and facilitate communication. The patient was initially alerted and depressed when admitted to the hospital. The author employed empathy and respect, listens attentively to the patient's thoughts and feelings. By establishing a trusting and therapeutic relationship and employing resilience-building strategies, the nurse helped the patient alleviate physical and emotional discomfort by undergoing medical interventions. The author also proactively provided education on domestic violence care, related precautions, and social resources. It is hoped that this nursing experience can serve as a reference for frontline emergency room nurses, providing insights into caring for individuals experiencing domestic violence. |
本系統中英文摘要資訊取自各篇刊載內容。