本篇個案報告在於分享運用Neuman系統性模
式，探討一位頭部外傷病患之主要照顧者壓力
源，並協助其降低壓力源照護過程。護理期間自
97年11月4日至98年1月7日。筆者於加護病房
單位藉由Neuman系統性模式觀察、會談方式收
集資料，分析歸納出個案有焦慮、照顧者角色
緊張及家庭運作過程改變等護理問題。針對每一
個壓力源，與個案在互信的基礎上提供實質性的
幫忙與個別性的護理措施，幫助個案熟練照顧技
巧，面對壓力並學會調適而降低焦慮，讓個案能
有信心與把握去照顧案女，同時運用醫院內資源
及家庭外在的資源，幫助個案解決問題及家庭運
作危機，讓整個家庭運作回到軌道上。

This case report shares a nursing experience assisting a caregiver of a patient with a head injury to
reduce her stressors. The period of care ran from November 4 to January 7, 2008. The author collected
subjective and objective data through observations and interviews with the caregiver using the Neu-
man systemic model in a hospital intensive care unit. Data was analyzed to identify key healthcare
problems, which included anxiety, caregiver role strain and changes in family dynamics. The stressors
involved in each were applied to the above nursing problems in order to deliver individualized nursing
care to the caregiver based on mutual trust. Such transferred care skills, taught the caregiver how to
face main stressors, decreased anxiety, and helped the caregiver build up her confidence and ability
to take care of her daughter. Such was complemented by leveraging hospital and external resources,
which helped the caregiver solve problems and improve family dynamics during the crisis. The ap-
proach helped the entire family adjust and reorient.