本文在呈現照護一位感染腸病毒學齡前期男童之護理經驗。個案因口腔內潰瘍不適，由急診室入院，於94年06月06日至94年06月14日照護期間，筆者運用Gordon十一項健康功能型態為架構，並以觀察、會談等方法對個案進行生理、心理、社會及靈性之整體評估，確定個案四個主要健康問題為：（一）知識缺失／案母對腸病毒感染的相關資訊不熟悉；（二）疼痛／與腸病毒感染造成口腔黏膜破損有關；（三）體溫過高／與腸病毒感染影響體溫調節機轉有關；（四）頭痛／與腦神經症狀以及焦慮引起有關。筆者依據各項健康問題教導案母腸病毒相關資訊，給予案主口腔護理、飲食注意事項及發燒處置，以增加其舒適；並執行預防顱內壓上升之措施。著重護病關係的建立，協助個案焦慮並降低案母的不安。期望此護理經驗能促使護理人員確認感染腸病毒學齡前期兒童之需求，以提升住院期間之照護品質。
his case report describes the care of a preschool boy infected with an enterovirus. He presented oral pain on the day he visited our emergency room. He was highly suspected of being infected an enterovirus, and admitted for further observation and treatment During his hospitalization, which was from June 6 to 14, 2005, we used Gordon 11 functional health patterns to assess the child's physical, psychological, social and spiritual needs. Data were collected by both interview and observation. Four health problems were noted: (1) knowledge deficit due to the child's mother being unacquainted with enterovirus infection information, (2) pain due to oral ulcers caused by enterovirus, (3) hyperthermia due to enterovirus infection, and (4) headache due to cranial neuron syndrome and anxiety. The primary nurse educated his mother about enterovirus infection, performed oral care, diet instruction, and fever management to increase his comfort. Nurses also intervened to prevent intracranial pressure increase, and established professional relationship to decrease his anxiety and his mother's restlessness. The nursing care experience described herein should encourage nurses to identify the needs of pre-school children infected with enterovirus and improve their quality of care.
