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題名：運用治療性遊戲於學齡前期病童的護理過程
書刊名：護理雜誌
作者：潘秀鈴／邱寶禎／沈彩鳳／陳紀雯
作者(外文)：Pan, Hsiu-lin／Chiu, Pao-chen／Shen, Jase-fong／Chen, Chi-wen
出版日期：2004
卷期：51:4
頁次：頁94-100
主題關鍵詞：治療性遊戲；學齡前期兒童；護理；住院；Therapeutic play；Nursing；Preschooler；Hospitalization
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(6) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:20
  • 點閱點閱:105
　　　　　本文係運用治療性遊戲於一位年僅四歲且患有腸阻塞病童的護理過程。病童左鎖骨下有一Port-A，右上腹部有一迴腸造廔口，每次換藥時總是大哭及身體抗拒厲害，在住院期間常有哭泣及不合作的情形發生。藉由參與觀察方式收集並分析幼兒的住院行為。結果發現病童有預期性疼痛、身體心像問題、情緒宣洩管道欠缺等護理問題，因此筆者就（1）信任感的建立、（2）降低對治療的恐懼、（3）了解其自我心像的感受、（4）情緒的宣洩等四個方向進行治療性遊戲，過程中成功地改善病童預期性疼痛哭泣及不合作的情形，亦得知其對於自我身體心像的想法，並提供一個情緒發洩及轉移注意力的管道。筆者在此護理過程中深刻體會到「孩兒玩」的自然天性，護理人員應適時地運用遊戲作為溝通方式，將有助於紓解病童的住院壓力並增加對治療之遵從度。
　　　　　This report describes the application of therapeutic play to a 4-year-old female patient with intestinal obstruction during the process of nursing. The patient suffered a Port-A in the clavicle and an ileostomy in the right upper abdomen. She cried incessantly and resisted nurses who attempted to change her dressing. Data were collected by participant observation, and it was found that the patient had problems dealing with anticipatory pain and body image and lacked an emotional outlet. Therapeutic play therefore was applied during the process of nursing in an effort to accomplish the following: (1) establish trust between the patient and the health care providers; (2) reduce the patient's fear of therapy; (3) help the patient to understand her own self-image; (4) provide an emotional outlet for her. During the nursing process, we improved her overall compliance, provided her with an emotional outlet, and helped her to understand her self-image. Through this nursing process we experienced the nature of children's play. Pediatric nurses may consider employing play as a means to communicate with patients in an effort to reduce their stress during hospitalization. Therapeutic play may also improve patient compliance with the process of nursing.
期刊論文
1.Shipton, H.(1999)。Playing doctors and nurses take the fear out of hospital。Nursing Times，95(48)，48-49。  new window
2.Smallwood, S. B.(1988)。Preparing children for surgery。AQRN Journal，47(1)，177-185。  new window
3.Walker, C.(1989)。Use of art and play therapy in pediatric oncology。Journal of Pediatric Oncology，6(4)，121-126。  new window
4.Zahr, L. K.(1998)。Therapeutic play for hospitalized preschoolers in Lebanon。Pediatric Nursing，24(5)，449-454。  new window
5.McArdle, P.(2001)。Children's play。Child: Care, Health and Development，27(6)，509-514。  new window
6.McGrath, P.、Huff, N.(2001)。"What is it?": Findings on preschoolers' responses to play with medical equipment。Child: Care, Health and Development，27(5)，451-462。  new window
7.Ryan-Wenger, N. A.(1998)。Children's drawings: An invaluable source of information for nurses。Journal of Pediatric Health Care，12(3)，109-110。  new window
8.Ellis, J.(2000)。Games without frontiers therapeutic play。Nursing Time，96(26)，32-33。  new window
9.Fulton, R. A. B.、Moore, C. M.(1995)。Spiritual care of the school-aged with a chronic condition。Journal of Pediatric Nursing，10(4)，224-231。  new window
10.沈青青(1992)。一位學齡前期白血病童之住院反應。榮總護理，9(3)，321-328。new window  延伸查詢new window
11.林靜蘭、蔣立琦(19971200)。治療性遊戲的臨床應用--協助一位學齡兒童學習自我清潔間歇性導尿。護理雜誌，44(6)，59-64。new window  延伸查詢new window
12.孫懿英、王浴、高玉玲(20000400)。運用「遊戲」協助學齡前期白血病童緩解住院壓力的護理經驗。護理雜誌，47(2)，95-102。new window  延伸查詢new window
13.顏貴紗(19891000)。住院兒童之衛教與治療性的遊戲。護理雜誌，36(4)，33-39。new window  延伸查詢new window
14.LeVieux-Anglin, L. L.、Sawyer, E. H.(1993)。Incorporating play interventions into nursing care。Pediatric Nursing，19(5)，459-462。  new window
15.童于容、許玉雲(19990600)。以治療性遊戲應用於學齡期兒童手術前的準備。護理雜誌，46(3)，61-66。new window  延伸查詢new window
圖書
1.Santrock, J. W.(2003)。Life-span development。McGraw-Hill。  new window
2.Papalia, D. E.、Olds, S. W.、Feldman, R. D.(1998)。Human development。New York：McGraw-Hill。  new window
圖書論文
1.張綠怡、蔡綠蓉(1997)。住院兒童之反應及其護理。實用兒科護理。台北：匯華。  延伸查詢new window
2.賴鈺玫(1994)。住院的孩童。新編小兒科護理。台北：匯華。  延伸查詢new window
3.吳亮珍(2000)。腸胃功能不足的孩童。新編兒科護理學。台北：永大。  延伸查詢new window
 
 
 
 
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