本研究的目的在探討如何經由治療性的遊戲，協助一位學齡前期神經母細胞瘤病童面對住院、手術與抗癌化學治療等壓力的過程。採田野研究法，於護理期間以參與式觀察、記錄與病童互動過程，根據11篇行為過程記錄採余氏（1991）內容分析法，發現病童在住院期間承受極大壓力所引發的情緒取向與問題取向的因應行為。以情緒取向的反應有生氣和憤怒、哭泣、拖延與退行性行為，以問題取向的反應有自我控制、轉移注意力、尋求資料、接受事實與比較行為。筆者配合學齡前兒童的認知發展，運用情緒宣洩性遊戲、指導性遊戲、生理健康促進性遊戲來紓解病童的壓力，而達到提昇其適應住院與治療的目的。經由此個案護理研究報告，建議護理人員在照顧住院癌症兒童時，可適當應用治療性遊戲，協助病童在住院期間能有較佳的適應行為。

　　　　　The purpose of this case study was to help one preschool Neuroblastoma child cope with the stresses of hospitalization, surgical operation, and cancer chemotherapy. A qualitative research design was used to observe and record activities with the child during nursing care activities. Chao (Yu) (1991) content analytic method (1991) was used to analyze the data of eleven process recordings. Analyses showed that the two coping behaviors most frequency used by the child were (a) emotion-focused coping such as anger, crying, postponement, and regression; and (b) problem-focused coping, such as self-control, distraction, information-seeking, facing reality, and comparison. The cognitive theory for preschool children was used to understand the effects of emotional outlet play, instructional play, and physiologic-enhancing play in releasing the child's stresses, improving the adaptation of hospitalization, and achieving the purposes of play. Nurses can use the findings of this study to improve cancer children's ability to cope with stresses during hospitalization and to change adaptation behaviors.