本篇個案報告係為一位15歲青少年因第2～5手指與掌骨關節壓砸傷，接受多次清創手術與截肢手術之後，導致個案身心困擾之護理經驗。筆者於護理期間運用戈登Gordon十一項功能性健康型態評估、會談及觀察等技巧收集資料，個案呈現主要的護理問題為：1.急性疼痛；2.恐懼；3.身體心像紊亂；4.自我照顧能力缺失。在此期間，提供生理的照顧與全人照護，藉由傾聽、陪伴、關心、同理心以瞭解個案的需求，提供合宜的護理以協助個案面對此些問題，終而成功的面對身體心像的紊亂，促使個案能儘早達成日常生活的自我照顧。期盼此護理經驗的分享，能提供護理人員作為照護此類疾病的參考。

The purpose of this report is to present the nursing experience of a patient with post right hand of 2-5 fingers and metacarpal bone joint crushing injury who had physical, and psychological distress after post several times of debridement and 2-5 fingers amputation. During the period of care, the author assessed the patient's condition using the Gordon's Functional health Assessment Guide. Data was collected by interview, observation, and physical examination. From major nursing problems were: 1. pain. 2. fear. 3. body image disturbance. 4. self-care deficit. In this period the author provide physical care, holistic care by listening, company, caring, and empathy to understand needs of patient. Finally, finally, patient was successful in facing body image disturbance and develop the patient's ability to care for himself.. Nursing experience from this case report can help nurses who take care of similar cases.