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[照顾性侵犯受害者的护理经验]

[The nursing experience of caring for a sexual assault victim].

作者信息

Chen Ya-Hui, Tsai Hui-Chu

机构信息

Emergency Room, Chang Gung Memorial Hospital at Keelung.

出版信息

Hu Li Za Zhi. 2008 Feb;55(1):99-104.

PMID:18270939
Abstract

The more advancements in technology, the more temptations there are for teenagers on the Internet. Despite satisfying the fancies of juveniles, the Internet predisposes them to many kinds of danger. In this article, a seventeen-year-old girl met a net pal on the Internet, went out with him out of curiosity, and was sexual assaulted. The Roy's adaptation model was applied to the victim. Further, all data were collected by observation and conversation in the emergency room, during routine outpatient follow-up and through phone conversations from April, 27, 2006 to June, 1, 2006. Sleep pattern disturbance, situational low self-esteem, impaired social interaction, and Rape-trauma syndrome were diagnosed after nursing assessment. In accordance with these diagnoses, individualized nursing implementation was performed, including encouraging her to express herself, listening to her patiently, and providing her with support as well as social welfare resources. Finally, the victim was assisted not only to overcome the dark shadow of her assault but to develop a positive attitude and set a new goal through the cooperation of her family, our medical group, and herself. This nursing experience may provide some helpful information for us to share in caring for such cases.

摘要

技术越进步,青少年在互联网上面临的诱惑就越多。互联网虽满足了青少年的喜好,却也使他们易陷入多种危险之中。本文讲述了一名17岁女孩在网上结识了一名网友,出于好奇与他外出后遭到性侵犯的事件。罗伊适应模式被应用于该受害者。此外,所有数据均于2006年4月27日至2006年6月1日期间,通过在急诊室的观察与交谈、常规门诊随访以及电话交谈收集而来。经护理评估,诊断出该女孩存在睡眠模式紊乱、情境性自卑、社交互动受损以及强奸创伤综合征。根据这些诊断结果,实施了个性化护理措施,包括鼓励她表达自己、耐心倾听她的心声,并为她提供支持以及社会福利资源。最后,在其家人、我们的医疗团队以及她自己的共同努力下,受害者不仅克服了性侵带来的阴霾,还培养了积极的态度并设定了新目标。这段护理经历或许能为我们护理此类案例提供一些有益的信息以供分享。

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