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創傷知情健康照護之實務
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創傷知情健康照護之實務
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Journal Article
創傷知情健康照護之實務
2021
Overview
極度壓力事件導致的創傷是影響人類健康的重要因子。經歷創傷的病人在醫療場域裡會以各種樣貌出現，包含被觸發創傷記憶而出現的強烈情緒或行為反應，無論是照護已知受創史的病人或是潛在受創者，對健康照護人員而言都是一大挑戰。創傷知情照護是以理解創傷為核心，尊重、同理及回應受創者的個別需求與反應，並能預防病人再度受創的照護方法。本文首先介紹創傷對健康的全面性影響，其後整理健康照護脈絡裡觸發創傷的因素，藉此突顯健康照護專業重視有受創史病人照護的必要性，最後，再將創傷知情的概念和原則融入健康照護實務中，以提供具體的實務應用策略。創傷知情健康照護實務需仰賴健康照護人員與機構組織共同努力，其原則包含健康照護人員的自我覺察與自我照顧、覺察病人創傷反應、確保病人安全感、建立信任感與照護透明度、與病人及健康照護團隊共同合作，並能在照護過程中提供選擇與增能。本文可作為健康照護人員提供受創病人友善且高品質照護之參考。
