本個案報告是採田野研究法，在民國86年5月13日至6月11日護理一位青春期 急性淋巴性白血病新發病的少年，在其住院期間擔任其主護護士，參與觀察，記錄與病童互 動過程，根據十篇行為過程記錄採內容分析法，探討病童住院期間之因應行為。研究結果發 現病童出現的因應行為是：(1)確認行為：如蒐集行為、期待行為、認定行為；(2)克服行為： 如自我控制行為、尋求協助行為、接受處置行為、抗議行為、隔離行為、磋商行為、代替行 為、和情緒反應；(3)評值行為：如正向評值和負向評值。護理人員在此除了提供住院化療 期間縱體照顧外，還扮演了父母與病童的諮詢者、教育者的角色與功能，陪伴病童一起因應 住院的壓力與治療。

　　　　　This case report was conducted by the field method approach. The writer was the primary nurse taking care of a male adolescent who was first diagnosed with leukemia during his hospitalization. Content analysis was applied to 10 process recordings to identify the boy's coping behaviors during his hospitalization. The boy's coping behaviors were categorized as (1)orienting behavior, e. g. information-seeking, expectation, and identification; (2)coping behavior, e.g. self- control, seeking support, receptivity, protest, isolation, bargaining, substitution, and emotional expression; (3)evaluating behavior, e.g. positive evaluation, and negative evaluation. The findings address the role and function of the nurse as care-giver during hospitalization and as consultant, listener, and educator, to help the child with cancer during his hospitalization.