本文描述一位67歲女性病人，因右手第二、三指不慎被螃蟹刺傷感染海洋弧菌，引發傷口壞死性筋膜炎，面臨手指截肢之照護經驗。護理期間為2013年9月25日至10月5日，運用Gordon十一項功能性健康型態評估工具進行評估，藉由觀察、傾聽、面談、直接護理、身體評估、病歷資料查閱方式進行主客觀資料收集並加以分析整理，確認病人主要健康問題有組織完整性受損、疼痛及身體心像紊亂等三項，據此提供個別性、整體性之護理計畫與措施。照護過程中藉由深呼吸放鬆及轉移注意力來緩解疼痛；以主動關懷、展露同理心及耐心傾聽建立良好護病關係，讓病人漸漸能正向接受身體外觀的改變，進而恢復住院前的生活模式。期藉此分享護理經驗，提供日後護理同仁照顧類似病人之參考。

This article describes the nursing experience of caring for a 67-year-old female who was diagnosed with necrotizing fasciitis in her right second and third fingers caused by vibrio vulnificus infection after an accidental stabbing wound from a crab. She later received a finger amputation. During the nursing period (September 25, 2013 to October 5, 2013), Gordon's 11-item functional health patterns were employed, and information was collected through observations, listening, interviews, direct nursing, physical assessments, and medical history review. The primary care issues included impaired tissue integrity, acute pain, and body image disturbance. We provided individualized nursing care plans and methods to address these problems. Her pain was relieved through deep breathing and distraction. A positive nurse-patient relationship was established through active concern, empathy, and listening, leading the patient to accept her body image change. These measures helped the patient return to her normal daily life. We hope that sharing this nursing experience can benefit our nursing colleagues in similar cases in the future.