本文探討一位糖尿病病人因篤信宗教可除病痛，而延誤治療導致壞死性筋膜炎，接受臉部清創及補皮手術後入住加護單位之護理經驗。護理期間自2009年月24日至2009年4月30日，個案除氣管插管的生理不適外，陌生的環境、環繞身邊儀器聲響及複雜管路等，使個案出現焦慮不安等反應。經Gordon健康功能型態進行整體性評估個案有呼吸道清除功能失效、皮膚完整性受損及不確定感等健康問題。筆者透過主動關懷、傾聽和陪伴與個案建立良好互動關係；提供合適的護理措施緩解生理不適，加強傷口照護與血糖控制，進而成功脫離呼吸器；並協同社工師利用宗教信仰配合教友的支持，提供指導矯正個案對糖尿病的認知，以增進自我照顧的技能，使個案順利轉出加護病房且出院後能有正確健康認知與態度，本文獨特性的照護過程與經驗，期能提供臨床護理人員照顧之參考。

This article was to describe a facial necrotizing fasciitis with skin graft patients nursing experience in intensive care unit. Based on Gordon's 11 functional health patterns assessment from March 24 to April 30, 2009, the health problems being as ineffective airway clearance, impaired skin integrity and uncertainty. Through the active care and companionship, a good interactive relationship was established with the patient. Appropriate nursing interventions were implemented to alleviate physical discomfort and policy was provided as a guidance to enhance self-care skills. All these enabled the patient to be successfully transferred out of ICU and eventually discharged from the hospital with appropriate health cognition and attitude. The unique nature of this care process and experience can serve as a reference when providing clinical nursing care.