Chang Yu-Hsuan, Dai Yu-Tzu
Department of Nursing, National Taiwan University, ROC.
Hu Li Za Zhi. 2011 Jun;58(3 Suppl):79-84.
This case report described an experience using therapeutic play in the care of a school-age living donor liver transplant recipient. A first intervention employed playing the patient's favorite game in order to create a therapeutic relationship. The author then introduced therapeutic play elements into the game to observe the patient's personal health behaviors, evaluate patient perception of hospitalization and assess the knowledge of self-care protocols. Therapeutic play was then used to raise patient familiarity with daily care specifics. The author found therapeutic play also helpful in persuading the patient to share deep feelings on the anxiety of separation from her parents while in the ICU. During the nursing process, the author recognized therapeutic play as an effective tool to communicate with children and improve treatment protocol compliance. The author recommends that nurses incorporate therapeutic play in clinical practice to reduce children's stress during hospitalization.
本病例报告描述了在照顾一名学龄期活体肝移植受者时使用治疗性游戏的经历。首次干预采用玩患者最喜欢的游戏,以建立治疗关系。作者随后将治疗性游戏元素引入游戏中,以观察患者的个人健康行为,评估患者对住院的认知,并评估自我护理方案的知识。然后使用治疗性游戏来提高患者对日常护理细节的熟悉程度。作者发现治疗性游戏也有助于说服患者分享在重症监护室与父母分离时的焦虑等深层感受。在护理过程中,作者认识到治疗性游戏是与儿童沟通并提高治疗方案依从性的有效工具。作者建议护士在临床实践中纳入治疗性游戏,以减轻儿童住院期间的压力。