本文描述ㄧ位19歲青少年首次罹患橫紋肌溶解症後身、心理變化之急診護理經驗。因少有青少年因橫紋肌溶解就醫，故引發筆者想了解運動後引發橫紋肌溶解症的照護模式因而收案。照護期間為2020年8月21日16:00至8月22日00:00，筆者藉由訪談、觀察、護理照護等方式，運用Gordon 11項功能性健康型態進行評估，確立個案有腎組織灌流改變、急性疼痛、焦慮等護理問題。為避免橫紋肌溶解引發腎衰竭，導致需終身洗腎，於急診留觀期間依醫囑給予充分靜脈注射生理食鹽水及密切監測體液量，協助改善腎功能恢復正常及電解質平衡；運用冰敷、按摩及舒適擺位減輕疼痛不適；與病人建立信任的護病關係提供橫紋肌溶解症的知識、鼓勵說出心中想法並傾聽，教導利用網路資訊等護理措施介入後，順利改善個案焦慮程度，增加其對橫紋肌溶解症的預防保健觀念及日常保養方式，使個案不再懼怕運動。

In this article, the emergency nursing experience of a 19-year-old male with 1st episode of rhabdomyolysis causing both physical and physiological impacts is described. As rhabdomyolysis is rarely seen among adolescent, the author reviewed this case as to learn about the care model for exercise related rhabdomyolysis. The emergency nursing experience took place from 16:00 on Aug 21 to 00:00 on Aug 22, 2020. By way of interviewing, observation and nursing care, then using Gordon Eleven Function Health Pattern assessment, it was confirmed that the patient had clinical nursing problems such as changes in renal tissues perfusion, acute pain and anxiety. In order to avoid the permanent kidney injury caused by rhabdomyolysis which leads to lifelong hemodialysis, the patient was given adequate intravenous fluid infusion as doctor’s prescriptions with close monitoring of fluid volume status to restore normal renal function and maintain electrolytes balance. Ice packing, massage, and comfortable positioning were carried out to reduce pain and discomfort. By building a rapport relationship, the nursing protocols such as educating the patient about the knowledge of rhabdomyolysis, encouraging him to express his thoughts, listening to his words, and teaching him to access online information were employed. The patient’s anxiety was successfully relieved. Further information about the prevention of rhabdomyolysis and daily health maintenance methods were supplied to help the patient overcoming the fear of exercising.