近幾年來，脊髓損傷隨著交通發達、紊亂、槍枝氾濫及運動傷害等而有增加的趨 勢，對個體的威脅，輕者受傷，重者帶來殘障或癱瘓，改變一生，甚至喪失生命。本報告係 運用羅氏適應模式探討一位囚車禍導致第六、七頸椎骨折的28歲已婚女性，於住院期間的 護理過程。護理期間自87年10月15日至87年11月9日止，經由觀察、會談、電話訪談 等方式，完成資料收集，再以生理功能、自我概念、角色功能、相互依賴等四種羅氏之概念 架構，評估確定個案之主要護理問題為：1.高危險性感染2.高危險性廢用症候群3.性功能 障礙4.無力感5.角色扮演改變6.社交隔離等六項。故針對影響個案適應程度的行為與因素， 並以處理主要、相關與剩餘刺激來執行護理措施，協助個案建立信心，增進對疾病的認知與 邂兔感染的發生，尋求社會支援，發展良好的支持系統，來勇於面對疾病的衝擊，進而建立 個案適應未來的新生活。將此護理經驗提出分享，盼對往後脊髓損傷的病患有所助益。

　　　　　In recent years, the trend of spinal cord injury increases due to the chaotic traffic development, the abusive use of guns, the increase of sport injuries and so on. For those victims, they may have minor injuries or severe injuries, which cause disability or paralysis that changed their whole life, or some may even lose their life. In this article, the author applied Roy's Adaptation Model in the nursing care of a 28 year old, married female with C6-7 fracture caused by a car accident, during her hospitalization from October 15, 1998 to November 9, 1998. Nursing assessment data was collected through observations, face-to-face interviews and telephone interviews. All the data was analyzed to identify the influencing behaviors and focal, contextual, and residual stimuli according to the physiological function, self-concept, role function and interdependence mode in the Roy's Adaptation Model. The nursing diagnoses for this client were; 1.High risk for infection 2.High risk for disuse syndrome 3.Sexual dysfunction 4.Powerlessness 5.Altered role performance 6.Social isolation. Nursing interventions were implemented to establish the client's confidence, increase her understanding of the injury and infection prevention, seek for social support, and develop better support system so as to deal with the impact of the injury and establish adjustment for her new future life. The author shared this nursing experience in the hope that it might be helpful for the nursing care of spinal cord injury clients.