运用Watson关怀照护理论於一位婴儿点头型痉挛儿童之护理经验.PDF

運用 Watson關懷照護理論於一位嬰兒點頭型痙攣兒童之護理經驗，經國學報， 30:27-35 運用 Watson關懷照護理論於一位嬰兒點頭型 痙攣兒童之護理經驗 1 *2 李美銀 穆佩芬 1 經國管理暨健康學院助理教授 *2 國立陽明大學臨床暨社區護理研究所教授 摘 要 嬰兒點頭型痙攣的症狀及預後對於病童的身心發展與主要照顧者的生活品質均造 成衝擊。本文為運用 Watson的十項關懷照護理論，照護一位 4 歲 5個月罹患嬰兒點頭 型痙攣接受腎上腺素荷爾蒙療法之兒童及主要照顧者，護理過程運用「有系統的使用科 學解決問題方法來做決定」、「增進並接受正負向感受的表達」等關懷照護行為以滿足 病童與主要照顧者之身、心與社會之需求。於病童住院過程中提供以家庭為中心之護 理，與病童及案母建立互信關係，促使其了解治療與疾病照護方式，增進主要照顧者照 顧病童之能力，協助處理病童接受治療過程中造成的疼痛、營養狀況多於身體所需等護 理問題，進而減輕住院壓力。 關鍵詞： Watson理論、嬰兒點頭型痙攣、腎上腺素荷爾蒙療法。 * 通訊作者 27 運用 Watson關懷照護理論於一位嬰兒點頭型痙攣兒童之護理經驗，經國學報， 30:27-35 Applying Watsons Theory to Caring for a Child with Infantile Spasms and his Primary Caregiver 1 *2 Mei-Yin Lee Pei-Fan Mu １ Assistant Professor, Ching Kuo Institute Management and Health *2 Professor, Institute of Clinical Nursing, National Yang-Ming University Abstract There is evidence of the impact of infantile spasms on the physical and mental development of children. This article explored the application of Watsons caring theory to the primary caregiver of a child aged four years and five months, who was suffering from infantile spasms and had received adrenocorticotropic hormone therapy. The physical and social-psychological needs of the child and the primary caregiver were fulfilled through the application of care and concern. After the caring behavior had been