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題名:大風吹,吹什麼--蒸氣吹吹樂
書刊名:榮總護理
作者:葉淑梅林秀蘭周玲旭簡英雅
作者(外文):Yeh, Shu-meiLin, Hsiu-lanChou, Ling-shuChien, Ying-ya
出版日期:2017
卷期:34:4
頁次:頁375-379
主題關鍵詞:蒸氣吸入噴霧治療治療性遊戲Inhalation therapySteam inhalationAerosol therapyTherapeutic play
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:11
  • 點閱點閱:5
呼吸道感染是兒科常見疾病,常採蒸氣吸入治療協助排除炎症反應所產生的氣管內痰液,成效取決於蒸氣噴霧粒子的大小及病童能否緩慢的深呼吸。護理師雖已於治療前先說明及引導,但使用時病童仍會害怕而抗拒躲避,導致治療效果欠佳,引起親子關係緊繃。筆者依病童喜好選擇畫畫、貼紙或蓋印章等方式,自製圖像紙,利用吹倒圖像動作,成功的轉移病童注意力達到蒸氣治療目的,同時也避免親子之間的衝突發生,改善親子關係;而護理人員也因陪伴遊戲,與孩子們建立了良好的護病關係。本創新案「大風吹,吹什麼~蒸氣吹吹樂」加強了病童執行蒸氣吸入治療的意願,家屬及護理人員的滿意度均達100%。希望此創新可推廣至全國需蒸氣吸入治療的兒童使用,以提升照護品質。
Respiratory tract infection is a common disease in children. Inhalation therapy is often used to facilitate the expectoration of phlegm in the airway caused by the inflammation process. The effect of the treatment largely depends on the particle size inhaled, and whether the patient can breathe slowly and deeply as instructed. Despite guidance and education given by nursing staff prior to treatment, most children are still reluctant to receive inhalation therapy due to fear and anxiety, resulting in ineffective treatment and even tension between parents and children. To facilitate treatment, we asked children to draw or use stamps and stickers to create pictures. They were then asked to blow the pictures down during inhalation therapy. The children were distracted from the previously frightening experience, and were able to complete the course of treatment effectively. There was less tension between parents and children, and an improved nurse-client relationship was established. Furthermore, willingness to receive inhalation therapy increased after this innovative procedure was introduced. The satisfaction rate of family and nursing staff was 100%. We hope this innovative procedure can be applied nationally to all children who require inhalation therapy to increase the effectiveness and quality of treatment.
期刊論文
1.呂芝慧、傅玲、李榮芬、吳慶音、林玄昇(20100600)。運用治療性遊戲於多發性齲齒幼童之手術全期護理經驗。榮總護理,27(2),171-178。new window  延伸查詢new window
2.林嘉玲、王亞妮、蔡秀敏(20130400)。創新思維在護理實務之運用。護理雜誌,60(2),97-102。new window  延伸查詢new window
3.劉和楨、黃心樹(20120500)。運用治療性遊戲提升呼吸道感染病童噴霧治療之成效。源遠護理,6(1),35-47。  延伸查詢new window
4.蘇芸仙(2011)。兒童中心治療性遊戲。諮商與輔導,308,24-26。  延伸查詢new window
其他
1.中央健康保險局。健保住院人數2013年,http://www.mohw.gov.tw/CHT/DOS/DisplayStatisticFile.aspx?d=12018&s=1。  延伸查詢new window
圖書論文
1.陳月枝、曾莉淑、劉千琪、蔡綠蓉、林鳳貞、黃玉苹、陳貞如(2008)。兒童發展理論。實用兒科護理學。臺中:華格那。  延伸查詢new window
2.陳玉枝、馮容莊、沈青青、李延慧(2011)。噴霧式蒸氣吸入使用法。兒科臨床護理處置規範。台北:藝軒。  延伸查詢new window
 
 
 
 
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