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題名:運用治療性遊戲於一位骨母細胞瘤學齡期病童接受手術之護理經驗
書刊名:長庚護理
作者:涂岑俞謝春金王文燕王玉真
作者(外文):Tu, Tsen-yuHsieh, Chun-chinWang, Wen-yenWang, Yu-jen
出版日期:2015
卷期:26:1=89
頁次:頁77-90
主題關鍵詞:骨母細胞瘤治療性遊戲學齡期兒童OsteoblastomaTherapeutic playSchool-age child
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:36
  • 點閱點閱:90
本文是描述運用治療性遊戲於一位骨母細胞瘤學齡期病童接受手術之護理經驗。照護期間自2012年1月6日至1月14日,使用Gordon十一項功能性健康評估指引,藉由觀察、會談及理學檢查等方式收集資料,確立焦慮、急性疼痛及身體活動功能障礙等護理問題。筆者於此護理過程中運用多項治療性遊戲,包括使用角色扮演說明疾病與手術過程、協助個案體驗換藥活動及注射治療、吹氣球練習深呼吸運動,並且,提供按摩、音樂、卡通影片及電動遊戲等措施轉移注意力,上述措施可有效緩解焦慮與疼痛,並增進復健治療成效。期此經驗能提供護理人員照護此類病童之參考,並建議未來應成立兒童醫療輔導師,統整手術全期照顧,提升兒童友善醫療之品質。
This article described the nursing experience of using therapeutic play for a school-age child with osteoblastoma undergoing surgical treatment. The nursing period was from January 6 to January 14, 2012. The Gordon's 11-item functional health assessment guidelines were applied to collect data through observations, interviews, and physical examinations. The nursing problems were identified as follows: anxiety, acute pain, and impaired physical mobility. The author employed a series of therapeutic play in the nursing process, including using role-playing for illustrating disease and surgical procedures; aiding this child to experience change dressing and injection therapy; and blowing balloons for practicing deep-breathing exercise. Moreover, massage, music, cartoons, and video games were provided to distract this child's attention. These interventions were effectively alleviated anxiety and pain, and promoted the effect of rehabilitation therapy. This nursing experience provides references for nursing staff to care similar children. In addition, child life specialist should be established to integrate the perioperative nursing care and enhance the quality of child friendly medical care in the future.
期刊論文
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2.張憶青、蔡佳玲(20090600)。運用治療性遊戲協助一位學齡前期支氣管肺炎病童接受胸腔物理治療之成效。長庚護理,20(2),243-252。new window  延伸查詢new window
3.von Chamier, G.、Holl-Wieden, A.、Stenzel, M.、Raab, P.、Darge, K.、Girschick, H. J.、Beer, M.(2010)。Pitfalls in diagnostics of hip pain: Osteoid osteoma and osteoblastoma。Rheumatology International,30(3),395-400。  new window
4.Yang, Chen-yuan、Chen, Cheng-fong、Chen, Wei-ming、Wu, Po-kuei、Lee, Fang-tsai、Chen, Paul Chih-hsueh、Liu, Chien-lin、Chen, Tain-hsiung(20130200)。Osteoblastoma in the Region of the Hip。Journal of the Chinese Medical Association,76(2),115-120。  new window
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6.彭玉琪、李奕儒(20100600)。照顧一位Guillian-Barre症候群學齡期兒童之護理經驗。長庚護理,21(2)=70,238-246。new window  延伸查詢new window
7.楊寶圜、李玉秀(20110300)。運用治療性遊戲協助肌肉萎縮症兒童處理情緒。長庚護理,22(1)=73,114-122。new window  延伸查詢new window
8.魏凰鈞、蔡佳玲(20090300)。一位三尖瓣閉鎖學齡期兒童於開心手術後之護理經驗。長庚護理,20(1)=65,142-153。new window  延伸查詢new window
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圖書
1.Feldmen, R. S.、黃久美、蔡慈儀、廖珍娟、徐少慧、陳紀雯、翁欣蓉、謝秀芳(2009)。人類發展學。臺北市:華杏。  延伸查詢new window
圖書論文
1.廖愛華(2010)。兒童肌肉骨骼系統疾病及其護理。實用兒科護理。臺北市:華杏。  延伸查詢new window
2.蔣立琦(2013)。住院兒童的反應與護理。兒科護理學。臺北市:永大。  延伸查詢new window
3.鄭美玲、陳文玲(2013)。兒童骨骼肌肉系統疾病與護理。兒科護理學。臺北市:永大。  延伸查詢new window
 
 
 
 
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