本文目的在運用治療性遊戲協助一位學齡前期支氣管肺炎個案降低背部叩擊之恐懼，進而配合背部叩擊治療並正確擺位。照護期間為2016年3月31日至4月1日，運用觀察、身體評估、溝通及治療性遊戲方式進行資料收集。由於在照顧期間，發現案母每次在協助個案背部叩擊時，個案都會因害怕而哭鬧並抗拒，而導致無法有效排除痰液，確立個案有「呼吸道清除功能失效」及「恐懼」等主要健康問題。因此作者以胸腔物理治療、學齡前期的發展特色與治療性遊戲為學理基礎，設計一個主題為「恐龍探險記」的治療性遊戲，以降低個案對於背部叩擊的恐懼。在治療性遊戲後，個案自願配合背部叩擊，同時也學習正確深呼吸咳嗽技巧，成功排出痰液。兒科護理人員若能秉持「無創傷性照護」的理念，並適當運用治療性遊戲來協助個案配合背部叩擊之擺位，不僅能夠降低個案的恐懼，更有助於護理人員與個案間良好關係的建立，進而提升兒科照護品質。

The article described the nursing experience of applying a therapeutic play to decrease the fear of chest percussion in a preschool child with bronchopneumonia. The period of nursing care was from March 31 to April 1, 2016. Data were collected through observation, physical assessment, conversation, and therapeutic play. Based our observation, due to the specific fear of the position of chest percussion, the child was always crying and resisting whenever his mother carried out the chest percussion. The health problems were identified as ineffective airway clearance and fear. A therapeutic play (the title is “Journey of the Dinosaur”) developed based on principle of chest care and therapeutic play, preschool children’s developmental features and child’s favorite dinosaur toys was applied. Finally, the child cooperated to hold the position of chest percussion and learned how to perform deep breathing and coughing correctly. If pediatric nurses could uphold the concept of “atraumatic care” and apply therapeutic play properly to help the child to cooperate the position of chest percussion, it not only can decrease the fear of the child, but also can build a good relationship between the nurse and the child. Also, the pediatric care quality is improved.