本文描述一位病毒性肝炎急性發作導致猛爆性肝衰竭病人，因疾病過程的無法預測產生無力感之
護理經驗，護理期間自2007年11月13日至2008年1月17日。筆者運用五大層面評估架構，以觀察、直接護理、會談等方式，進行整體性評估收集資料並確立問題。個案有體液容積過多、思想過程改變、焦慮、無力感與哀傷等健康問題。照護期間密切監測疾病進展，給予關懷、傾聽、心理支持，鼓勵表達內心感受，主動提供正確資訊與護理指導，讓個案與家屬了解疾病過程及返家自我照顧方法和注意事項，以減輕焦慮，增進自我控制感，協助個案與家屬以正向態度面對病情變化，共度艱辛過程。

The article describes a nursing experience with a powerlessness patient suffering from acute viral hep-atitis exacerbation-induced fulminant hepatic failure. The period of care ran from 13 November 2007 to 17 January 2008. The Gordon 11-item health assessment scale was used to identify nursing process problems. Nursing diagnosis results included excessive fluid volumes, altered thought processes, anxi-ety, and physical powerlessness. Thus, while monitoring the patient’s physical condition, the nurse provided psychological support, teaching and information about the disease during patient hospitaliza-tion. The purpose was to promote patient and family abilities to deal with the illness and preparation for self-care after discharge, and, thus, enhance self control through reduced anxiety.