Wang Pei-Ju, Feng Jui-Ying
Department of Nursing, National Cheng Kung University, Taiwan, ROC.
Hu Li Za Zhi. 2013 Jun;60(3):105-10. doi: 10.6224/JN.60.3.105.
Hospitalization in the pediatric intensive care unit (PICU) can be a very stressful and sometimes traumatic experience for school-aged children due to illness, painful procedures, unfamiliar environment, and separation from family. We incorporated picture books into PICU nursing care to explore the stress response in a school-aged child with compartment syndrome who was hospitalized in the PICU. Observation, interview and communication with the patient were used to assess her psychological reactions and emotional and behavioral responses to stress related to hospitalization and medical treatment. Autonomy and control were provided and strengthened by giving the patient choices and purposive life plans. Picture books were used to establish rapport and help the patient express her feelings, needs, and desires for parental love and company. This case report highlights the importance of nurses' awareness of children's stresses and needs during hospitalization in the PICU as well as the value of picture books or other age-appropriate tools for this patient population.
对于学龄儿童而言，因疾病、痛苦的治疗程序、陌生的环境以及与家人分离，入住儿科重症监护病房（PICU）可能是一段压力巨大且有时颇具创伤性的经历。我们将绘本纳入PICU护理中，以探究一名患有骨筋膜室综合征并入住PICU的学龄儿童的应激反应。通过对该患者进行观察、访谈及交流，来评估她对与住院和治疗相关压力的心理反应、情绪及行为反应。通过给予患者选择和有目的的生活计划，赋予并强化其自主性和控制权。利用绘本建立融洽关系，帮助患者表达她的感受、需求以及对父母关爱和陪伴的渴望。本病例报告强调了护士在PICU住院期间对儿童压力和需求的认知的重要性，以及绘本或其他适合该患者群体的工具的价值。
