本研究以連續護理的方式照顧一位第一至第二頸椎血管瘤小姐，護理期間自89年3月31日至4月13日，出院後6月9日電話訪談，在實際的護理情境中用會談、觀察等技巧寫成行為過程記錄共13篇，再加以整理分析。結果顯示個案在住院期間的衝擊分四方面，包括（1）心理方面：控制感消失、罪惡感。（2）生理方面：身體功能減退、疼痛、日常生活行動受影響。（3）社會方面：社交互動減少、角色改變。（4）靈性方面：無法追求宗教儀式，疾病的危機╱痛苦╱死亡。針對這些衝擊，病人發展出五項因應行為，包括：（1）調整個人情緒，（2）運用心理防衛機轉：如合理化、逃避，（3）搜集資料，（4）遵循醫療行為，（5）主動參與。透過因應行為，減輕疾病帶來的衝擊，進行適應疾病的過程。

　　　　　This is a female patient of hemangioma in the first and second cranial segments of spinal cord. Authors gave continuous nursing care from March 31, 2000 to April 13, 2000. During this period, authors use methods such as interview, observation, etc...to collect data. Moreover, The changing behaviors were recorded, codified into 13 papers and analyzed. After discharge, the patient was interviewed by telephone at June 9,2000. Results include four impacts to the patient while hospitalized. They are follows: (1) psychologically: loss of control, guilty feeling, etc..., (2) physically: degeneration of body functions, pain, disturbance of daily activities. etc..., (3) sociologically: decrease of social activities, change in role functions; (4) spiritually: lack of participating in religious activities, danger of pain and possible to death caused by the disease. Furthermore, There are five coping behaviors showed by the patient. There are (1) control of her feeling, (2) use of psychological defense mechanisms, such as rationalization and escape, (3) collection of data, (4) follow the medical treatments, and (5) actively participate.