頭部及顏面損傷個案接受整型重建手術後，需面臨生、心理改變之多重衝擊，並影響到個案 日後的社會交際與日常生活，顯示住院期間傷口照護及心理支持之重要。本文描述一位40歲女性， 因工作時頭髮不愼被機器捲入，造成頭皮撕脱傷之護理經驗。筆者於2016年1月2日至1月15日， 運用會談、觀察、傾聽及病歷查閲等方式收集資料，並以Gordon十一項健康功能型態進行個案生 理、心理、社會及靈性整體性評估，確立主要健康問題有：組織完整性受損、現存性感染及身體 心像紊亂，護理期間針對個案之個別性擬訂護理計畫，術後一天3至4次積極的換藥治療，並於 換藥時嚴格遵守無菌技術、每日每班觀察傷口癒合情形並與醫師討論換藥方式；提供充份衛教、 執行照護時給予告知及詳盡的解釋，減少其焦慮；採持續性的關懷、傾聽並同理個案感受及給予 正向鼓勵引導表達内心想法，以面對身體外觀的改變。期望能藉此護理過程之經驗分享，以提供 護理同仁對日後照顧此類個案有更多的照護知識及技巧，並給予適切的護理。

Patients with injury to head and face usually need to face multiple physical and psychological impacts due to changes in social communication and daily life after a reconstruction surgery. Thus, wound care and psychological support during the hospitalization are important. This article described the experience of nursing care on a 40-year-old woman who had a scalp avulsion injury after her hair being trapped into a machine. The patient’s data were collected by conversation, observation, listening, and reviewing the medical records from January 1 to 15 in 2016. Furthermore, Gordon’s 11 Functional Health Patterns were used to assess the patient’s integrity regarding physiological and mental health, sociality, and spirituality. The main health problems identified included impairment of the skin integrity, existed infection, and disturbance of body image. An Individualized nursing plan was developed, including changing the dressing with aseptic technique 3-4 times a day, , daily inspecting the healing progress, and discussing appropriate wound care method with the doctor. Moreover, a complete patient instruction and detailed explanation were provided to reduce the anxiety of the patient. In addition, a persistent care, listening, and empathetic altitude were provided to encourage the patient to share her emotion and to face the change of her appearance. We anticipated the experience of nursing care could provide a reference for the nursing staff to care similar patients.