運用創意護理活動於家庭護理過程中之個案

288 Family Nursing and Creativity ֩ტЪᗁੰ 2Fΐ᜕ঽ᜕ٗநर *ܜطᗁᒚੑဥڱˠ੼ฯܜطࡔهᗁੰৠགྷγࡊΐ᜕ঽٗநर **֩ტЪᗁੰ 7A੻ࡊঽ ᜕ٗநर ***੼ฯᗁጯੰکԌࡊঽ᜕ٗநर ****ܜطᗁᒚੑဥڱˠ੼ฯܜطࡔهᗁੰৠགྷγࡊΐ᜕ঽ᜕ٗநर *****֩ ტЪᗁੰ 11Cγࡊঽ᜕ٗநर ******ᅃࡻࡊԫ̂ጯ᜕நրӄநି଱ צ͛͟ഇĈ99ѐ3͡30͟ ࣒Լ͟ഇĈ99ѐ6͡18͟ ତצΏྶĈ99ѐ6͡21͟ ఼ੈү۰гӬĈᜪฮӀ ᅃࡻࡊԫ̂ጯ᜕நր 831 ੼ฯξ̂ᆴડซጯྮ151ཱི ࿪ྖĈ(07)7811151ᖼ5612; E-mail: ns126@mail.fy.edu.tw

ྻϡ౹ຍ᜕ந߿જٺछल᜕ந࿅඀̝࣎̚९

ችᎼሪąችฮؐ*ąѯౠप**ąڒِލ***ąཧᚊර****ąችᎼನ*****ąᜪฮӀ******

͛̚ၡࢋ

ώ͛ͽ߸(2006)FFAMछलෞҤሀёࠎ͹຅ĂซҖ࣎९छल۞౹ຍ᜕ந࿅඀Ă൴ன࣎९छल ѣЯᑕεਕ׶໛఼۞યᗟĂ҃࣎९ώ֗ѣ൑ड़ّઉ૵ჯ᜕ਕ˧/পؠٺϡᘽ͞ࢬ׶՚ছҋԧ໰ᜪ ਕ˧৿ε۞યᗟĂ̈́ग̃۞Җࠎă฼ࢴ௫ၚă׶វࢦඈયᗟĂώ௡јࣶࢍ൪ͽछल࣎̚९ᅮՐ ࠎ͹คĂనࢍαี౹ຍ᜕ந߿જĂ௚ჍࠎĶʄ୻۞๪ေķĂΒ߁Ķ˘ϫ˞൒֨ሗඌķăĶ̙ϡ৒ ˠ࿚ķăĶ̣̮๪ေഎķăĶಈາနᖞනڇ჏ķĂ౅࿅ѩαี౹ຍ᜕ந߿જĂ࣎९ܑϯԆј׎߾፦ ۞͕ᙸĂ˵Լච͈؍ม۞໛఼͞ёĂՀᆧซ࣎९ϡᘽ۞გநĂ̈́֗វ׶Ⴢ্ᒖဩ۞නዋ඀ޘĂ ᖣϤ᜕Ϡࣇ၆Ҳۤགྷछल۞᜕ந࿅඀Ăഇధਕֹ࣎९̈́׎छलјࣶมຏזˠࣇ۞ᙯᘃ׶໢ືĄ ᙯᔣෟĈछल᜕நă౹ຍĄ

݈ ֏

ܕѐֽઉ૵໰᜕ր௚۞ݭၗ̏ు႙Ϥͽछ ल̈́ۤડࠎጱШ۞໰᜕ሀёĂפ΃࿅Νͽᗁੰ ࠎૄᖂ۞໰᜕ሀёĂѩ჌ᖼត۞ᔌ๕ֹ଀छल ᜕ந۞ໄهు႙צזࢦෛĂ҃ͽछलࠎ͕̚۞ ໰ ᜕ ໄ ه ੓ ໚ ٺ ঐ ෱ ۰ ྻ જ ᄃ ̃ ّ ͹ ཌྷ ۞ Ꮈ ੓Ăٺᗁੰ̚ඕЪயࡊă׊ࡊ̈́ۤડ۞ᅳાĂ ฟؕĶͽछलࠎ͕̚۞໰᜕ķĂ֭ଳ಴ࢦă̶̍ Ъү׶͚޺۞ࣰநĂିጱछलјࣶтңдᑅ˧ ˭ྋՙયᗟĂ̶ֳكѩ۞ຍཌྷ׶ᆊࣃĂ̈́೩ֻ ઉ૵׶়ঽ۞໰᜕(ܘăͳĂ2004)Ąͽछलࠎ̚ ͕۞໰᜕ߏ˘჌ˠّ̼ăፋវّăాᜈّᄃ࣎ Ҿ᜕ّநĂ૞ຽˠࣶдछलјࣶมፉЇણᄃ۰ ̶ֳ̈́۰Ă࠹ܫ֭಴ࢦछलјࣶ۞፾পّĂ֭ ፉЇछलᄃᗁᒚܲઉ໰᜕ր௚۞፜ሇĂፋЪ჊ Ӏྤ໚Ă೩ֻछलםӄ׶ග̟͚޺(ܘăͳĂ 2004)Ą ૄٺጯ۰૞छ၆छल໰᜕۞ࢦෛĂώ௡Т ጯՙؠᏴፄ˘Ҝքർ̼ଈ۰۞छलࠎ࣎९Ăซ Җछलፋវّ۞ෞҤ᜕̈́ந࿅඀Ăѩ࣎९۞͹ ࢋ໰ᜪ۰ࠎ؍̄Ăܘăग׶ౘ(2006)ܑϯछल໰ ᜪ۰۞࢑ఈΒ߁Ϡந࢑ఈă͕ந࢑ఈăۤϹ࢑ ఈ̈́ੑۏ࢑ఈĂͷͽੑۏ࢑ఈᇆᕏྵࢦć࢑ఈ ۞Яᑕ͞ёѣ֎ҒአፋăವՐ͚޺̈́ྤ໚۞ם ӄăિؠ۞ܫهăᆧซ໰ᜪۢᙊ̈́ԫμă໰ᜪ ۰ ۞ ઉ ૵ ܳ ซ ̈́ ໰ ᜪ ̍ ү ۞ а 㒝 ( ధ ă ܘ Ă 2003)Ąώاछքർ̼࣎९۞छलѣ໰ᜪ۰࢑ఈ ۞યᗟĂপҾдགྷᑻ࢑ఈ۞ᆸࢬĂ९؍ࠎ˞छ लགྷᑻ۞࢑ፉĂͽ̍үࠎࢦ͕Ă҃نர˞࣎९ Ϡந͞ࢬ۞໰᜕Ă߇͔൴ώ௡ຐྻϡछल౹ຍ ᜕ந࿅඀ֽྋՙѩ࣎९۞ઉ૵યᗟĄ

͛ᚥߤᙋ

аᜪछलෞҤ۞࠹ᙯ͛ᚥĂ൴னѣ2࣎͹ࢋ ሀёࠎΙΐϲछलෞҤሀё(Calgary Family Assessment Model, CFAM)̈́τ֧଀તछलෞҤ ሀ ё (Friedman Family Assessment Model, FFAM)ĄCFAMٺ1983ѐϤࡻ઼۞഼ؒ׶ॹᇇ೻ ൴ण΍۞छलෞҤሀёĂෞҤ̰टΒ߁छलඕ ၹăछल൴ण̈́छलΑਕˬ࣎͹ࢋีϫćछल ඕၹ˫Β߁̰дඕၹ̈́γдඕၹĂ̰дඕၹΒ ߁छल௡јᄃࠧቢඈĂγдඕၹΒ߁̼͛ᄃࣧ Ϡछलćछल൴णΒ߁ล߱̈́Їચ̝ෞҤćछ लΑਕ̰टΒӣ̍׍ّܑ̈́྿ّΑਕෞҤ(ౘă ໅Ă2002)ĄFFAMٺ1986ѐϤFriedmanٙ೩΍Ă Β߁छल̰дඕၹα࣎ૄώࢋ৵Ă֎Ғඕၹă ᝋ˧ඕၹă໛఼࿅඀̈́ᆊࣃր௚ćѩछलෞҤ ሀё̰टϤछलૄώྤफ़ă൴णล߱̈́Їચă ᒖဩăඕၹăΑਕăᑅ˧Яᑕඈ̱࣎ࢬШ௡ј (ᔁăเĂ2005ćౘă໅Ă2002)Ą ੵ˞CFAM׶FFAMγĂ͛ᚥ̚ϺඕЪధк ̙Т۞छलෞҤ̍׍ٺۤડ࣎९۞छलෞҤ̚ (඀ăధăᜪĂ2001ćౘă໅Ă2002)ĂܜഇۻԖ اछ࣎९(ᑛăڒĂ2002ğĂщှاछ࣎९(ౘĂ 2000)Ă઱፾͞(2001)ăᔁ׶เ(2005)ᑕϡFFAM ٺ̰γࡊঽٗ̈́̚ࢲ࣎९ć͞(2001)ྻϡछलᑅ ˧໚׶छलЯᑕ۞ໄهᄲځछल૱֍۞ᑅ˧໚ ̰̈́γдछलЯᑕඉரĂ҃ᔁ׶เ(2005)ֹϡ࣎ ˠᄃछलૄώྤफ़ăछल൴णล߱̈́Їચăᒖ ဩăඕၹăΑਕᄃᑅ˧Яᑕඈ̱࣎ࢬШĂೡࢗ ࣎ˠᄃछल̝ม۞ᙯܼĂܳซ࣎९ࢬ၆ώ়֗ ঽᄃεਕ۞ଐڶĄѩ࣎९ѣքർ̼̈́छलགྷᑻ ඈкࢦᑅ˧໚Ă߇ώ௡ՙؠᏴፄFFAMࠎѩ࣎९ छल۞ෞҤሀёĂЯࠎFFAMߏͽछलᑅ˧໚׶ Яᑕࠎ͹ค۞ሀёĂͽѩሀёซҖ࣎९۞छल ᜕ந࿅඀Ăྵ௑Ъ࣎९छल۞ᅮՐĄ

छलෞҤߛၹᄃ̰ट

ώछलෞҤߏͽ߸(2006)ٺĶछल᜕நᄃछ लణෛ၁ચķಏ̮ٙ̚೩̝FFAMछलෞҤሀё ࠎ͹຅ĂѩߛၹΒӣछलඕၹă൴ण̈́Αਕඈ ˬ ̂ ొ ̶ Ă ׎ ̚ छ ल ඕ ၹ Β ߁ ̰ д ̈́ γ д ඕ ၹĂ̰дඕၹΒ߁छल௡јăछलݭၗăछल ဦᙉă໛఼ݭၗăछलऎሄᄃЃยăᆊࣃ៍ă ᝋ˧ඕၹăٗޏπࢬဦĂγдඕၹΒ߁ᒖဩă ۤડ̢જă̼͛ࡦഀăۤົลᆸćछल൴णΒ ߁ ൴ ण ۞ ล ߱ ̈́ Ї ચ ć छ ल Α ਕ Β ߁ གྷ ᑻ Α ਕăଐຏΑਕăۤົ̼Αਕăઉ૵໰ᜪΑਕă छलᑅ˧ᄃЯᑕඈีϫĄ ˘ăछलඕၹ Ğ˘ğ̰дඕၹ 1.छल௡јĈѩ࣎९छ̚ѣ९؍ẵ׊ẵ ಪăग̃ă९ԙăԙ๿ă2࣎ހ̄ඈĂк࣎͵΃ اҝд˘੓۞̂छलĄܑ˘Ӕனछलјࣶ۞ّ Ҿăᚱరăѐ᛬ăିֈ඀ޘăᖚຽă؟ିăઉ ܑ˘āछल௡јໄڶܑ ჍᏜ ّҾ ᚱర ѐ᛬ ିֈ඀ޘ ᖚຽ ؟ି ઉ૵ېڶ ࣎९ շ ᄂ៉Δപ 45 ઼̚ ൑ ྽ି ੼ҕᑅă̚ࢲăքർ̼ ९؍ ̃ ᄂ៉੼ฯ 43 ઼̚ छल̍͘ ྽ି ։р ̃׊ ̃ ᄂ៉੼ฯ 24 ੼̚ ൑ ྽ି ։р ̃ಪ շ ᄂ៉੼ฯ 25 ੼̚ ൑ ྽ି ։р ग̃ ̃ ᄂ៉੼ฯ 5 ρ༴๩ ጯϠ ྽ି ։р ९ԙ շ ᄂ៉Δപ 40 ઼̚ छल̍͘ ྽ି ։р ԙ๿ ̃ ᄂ៉੼ฯ 36 ੼̚ छल̍͘ ྽ି ։р ހ̄ շ ᄂ៉੼ฯ 7 ρ༴๩ ጯϠ ྽ି ։р ހ̄ շ ᄂ៉੼ฯ 6 ρ༴๩ ጯϠ ྽ି ։р

૵ېڶĄ 2.छलݭၗĈѩछलᛳᕖणछलĂјࣶΒ߁ ͭϓă̄̃ăग̃ăұץؑᕒඈк࣎͵΃اҝ ˘੓۞̂छलćෞҤ࣎९ᄃ९؍̢જ౵Ꮠ૜Ă ᄃ׎΁छᛳ̢જإΞĂ९ԙ̈́̃׊д࣎९ᅮࢋ ॡົග̟ዋ༊۞םӄĄ 3.छलဦᙉĈॲፂဦ˘۞छलဦᙉពϯϫ݈ ࣎९ᄃ९؍ă९ԙăԙ๿ẵ׊ăग̃̈́ᬜ̄ ТҝĄ 4.໛఼ݭၗ (1)໛఼඀ޘĈѩ࣎९छल̂кଳދౕё໛ ఼Ă৿ͻ၆኏ࡎયᗟ۞ྋՙਕ˧Ăٺछణ࿅඀ ̚ ൴ ன ѩ छ ल ۞ ໛ ఼ ݭ ၗ ̂ к ͽ ९ ؍ ΃ ആ ࣎ ९Ă̈́छٙ̚ѣјࣶ۞͞ёֽаඍયᗟĂ९؍ ͹ጱፋ࣎छल۞໛఼ր௚Ą (2)໛఼͞ёĈ࣎९ຍᙊE4V4-5M6Ă᝘଀ᑖ ֗य़ˠ۞၆ྖĂઊົͽࣵڥ߹ஊ͞ёܑ྿ҋ̎ ۞ଐຏĂ̙නڇॡ˵ົͽ˾ᄬ̈́ҖજϯຍՐӄ ҖࠎĂ༊൑ˠםӄ࣎९ॡĂઊႬົो֗ᙝ۞ڌ Ҙϴ९؍Ăͽܑϯ׎ᅮࢋᑒѓĂ९؍Ӯົዋॡ ග̟࣎९ᑒѓĂͷ͌ٱީĂ࣎९ઊႬົ׶ग̃ ฟە৯Ă̢જָĂҭ׶2࣎ހ̄݋̢જ͌Ą 5.छलऎሄᄃЃย߿જĈѩछलπॡ൑ऎሄ Ѓย߿જĂ९؍ܑϯπ૱ҋ̎໰ᜪ࣎९ಶຏז р௢Ăઇछल̍͘ᔇ᏿ॡมౌ̙ૉ˞Ăॲώ՟ ॡม͕̈́ଐ૲࣎९΍Ν֕֕ĄπॡΪਕݍૻ٩ ΍ ˘ ֱ ॡ ม ͽ ዇ എ ଯ ඾ ࣎ ९ Ҍ ܢ ܕ ۞ ූ ྽ ೸ ՎĂ׶ዐاರಂೀήĂੵѩ̝γĂ࣎९ೀͼౌ ߏдछ̚࠻࿪ෛٕߏჂᛇĄ 6.ᆊࣃ៍Ĉ९؍ܑϯϫ݈Ϊਕͽॡมೱܛ ᏿Ăѣ۩ಶᅁछल΃̍â̷᝘͇Ϥ׻Ă໭೗ ˵̙ਕԼតְ၁Ă࠽୕˘͇ਕкᔇ50-100̮Ăͽ ྃ෭छलགྷᑻฟዚĄ 7.ᝋ˧ඕၹĈ࣎९छलᛳ̍׍ᝋރݭၗĂ९ ؍ࠎགྷᑻ͚΍̈́ќˢ۞ՙඉ۰Ă̶੨छ̚۞̍ үĂЯࠎ९؍ϫ݈ેҖछल΃̍Ăͷ࢑య໰ᜪ ࣎९Ă߇छ̚ՙؠᝋкࠎ९؍Ăࠎ੼ޘ͚੨۞ छलĄ 8.ٗޏπࢬဦĈҝछࠎ˘ሁᜠϩޏޙ᎝Ăг ڕࠎͪڪгĂ̰ٗЍቢڃຳĂα׹൑඄͗ĂΪ ѣछ̂̚ܝБฟĂᒅঈࢦăѷဧкĂ˭ܥॡົ ႒ͪĂ̰ٗᗔۏкĂુٸٺᒒय़˘ፋଵĂ࣎९ ٙ ֹ ϡ ۞ Ԗ ዛ ̈́ ജ జ ࠻ ੓ ֽ ᝯ ᝯ ۞ Ă ͷ ѣ ள קĂ९؍̈́ग̃୎˯ߏϡ׌ૺᜆഎЪ׀Ⴢд࣎ 290 Family Nursing and Creativity

९֗य़Ă˟ሁࠎ࿁ޙ̈ᅦሁĂ˜९ԙ˘छˠ۞ ҝٙĄ࣎९छलٗޏ۞πࢬဦтဦ˟Ą Ğ˟ğγдඕၹ 1.ᒖဩĈ࣎९ҝछΠᙝዐ۽ࠎϞ೻ҖĂνᙝ ࠎᕠຼᝊĂූ྽˯ٗ̄ᛳҁᖞݭ౅͇ޙ᎝Ăк มٗ̄ፋ࣒̚Ă࣎९اҝٗ̄ޢࢬѣ˘ۤડĂ ν ዐ ࠎ ࢴ ݡ ̍ ᇄ ̈́ ᆂ ୨ ๩ Ă ၆ ࢬ ѣ ˘ ม ̣ ܛ ҖĂූ˯ѣϞ೻ҖαมĂҽ໮Җ˟มĂᘽԊ˟ มĂ෧ٙ˘มĂ៍͵ࢰᇁ˘มĂ࿣ጨޒ̰ѝ˯ ѣ෉ξಞĂγࢬූ˯ѣᗔఱظࣘ኱ቸ෉Ă෧ٙ ـΠ۞؂྽ੲथĂГـ˭ۡ֕ѣ˘̳๩Ą࣎९ छल׹ಛᒖဩဦтဦˬĄ 2.ۤડ̢જĈ༊छलࢬᓜགྷᑻӧဩ̈́ᅮࢋۤ ົ჊Ӏྤ໚ॡĂົኛՅܜᑒѓᓑඛۤົԊඈ࠹ ᙯಏҜϦኛྃӄĂՅܜົ఼ۢ࣎९छलπۤ͟ ડ۞߿જٕ࣎९ٙᅮ̝ྤੈĂፋ࣎छलᄃۤົ Ԋ̈́Յܜᙯܼ೼఼Ą࣎९Я়ঽᙯܼ૱ᄃ኎Ϡ ٙ̈́ᗁੰତᛈĂЯ൑ڱҋҖγ΍Ă఼૱ߏܢܕ ዐاڈ̓זछౖ̚ҡ௭͇Ă׶ᗁੰᙯܼૻধĂ ׶኎Ϡٙ̈́ዐاڈ̓ᙯܼ೼఼Ą९؍π͟࢑య ౖ ҡ ࣎ ९ ـ ܔ ᗁ ੰ Ă ߏ ࣎ ९ ᄃ ᗁ ੰ ໛ ఼ ۞ ፜ ሇĂ˵࢑య໰ᜪग̃Ăπ͟дछᄃ̈ץ˘੓ઇ ̍͘Ă९؍۞ऋछઊႬົਖ਼ֱ͟૱ϡݡ̈́ࢴۏ ז࣎९छĂ९؍ᄃᗁੰăዐاڈ̓ăऋछă̍ үಏҜᙯܼ೼఼ćЯޝ͌זܢܕᇁц޵޵Ăᄃ ؟ ି ᙯ ܼ ݋ ព ᓠ ऴ Ą ̃ ׊ ϫ ݈ ̪ д ವ Ա ̍ ү ̚ Ă Я ࠎ ಈ ᝌ Ա ᅅ ᗫ ۞ ̍ ү Ă ͷ ၆ ̍ ү ྵ ߄ ࣢Ă׶̍үᙯܼღૺĂ҃̃ಪϫ݈ЯϚཋӱկ ̚Ą̈ץᄃ̍үᙯܼ೼఼ĄˬҜग̄ࣇனಶ᝝ ρ༴๩Ăкᄃጯ७ҁर׶ТጯତᛈĂ߇ᄃጯ७ ᙯ̢ܼજૻধĄ࣎९छलϠၗဦтဦαĄ 3.̼͛ࡦഀĈ࣎९ᄃ९؍࠰΍Ϡٺέ៉Ă࠰ ࠎᅥݑˠĂछֹ̚ϡ઼ăέᄬ໛఼Ą࣎९ٺ20 ໐ॡЯͭᏐ̍үᙯܼĂ߇ϤလཌྷΔപᚱరгዏ ଁҌ੼ฯ౧ڗડĂҌ̫̏اҝ25ѐĂ׶׎΁Ꮠ ଜ͌ᓑඛ̈́ـֽĂΞአዋ̈́ЯᑕԼត۞Ϡ߿ᒖ ဩĄд̼͛௫ܸ͞ࢬĂလཌྷ۞ᇁцྵкͷ૱૱ ѣᓝᏱᇁົĂ҃ѩг่˘఍៍͵ࢰᇁĂπ૱ޝ ͌Ν޵޵ĂΪѣྺፌ7̈́͡࿅ѐົᄃᇁ͞˘੓፵ ࢶࡆ჊Ą 4.ۤົลᆸĈ࣎९छलᛳ̚˭ลᆸĂͽ౻˧ ̍ٙ͘ᔇ଀۞᏿үࠎछ̚གྷᑻ۞ֽ໚Ą ˟ăछल൴णĈล߱̈́Їચ ॲፂ࣎९छल۞൴णล߱̈́ЇચĂෞҤϫ ݈छल۞னڶĂ׶೩΍ࢦࢋઉ૵ࢍ൪Ăᄲځт ܑ˟Ą ဦ˟āछलٗޏπࢬဦ ဦˬāछल׹ಛᒖဩဦ

292 Family Nursing and Creativity ဦαāछलϠၗဦ ܑ˟āछल൴णล߱̈́Їચ छल൴णЇચ 1.႕֖छ̚јࣶᅮ ՐĂΒ߁֖ૉ۞ اҝ۩มăᔳռ ̈́щБ Ą 2.ჯ޺ઉ૵۞૓ބ छलĄ 3 .አ ፋ ޅ ̄ ۞ ᅮ ࢋĄ 1.೩ֻܳซઉ૵۞ ᒖဩĄ 2.ૻ̼૓ބᙯܼĄ ன ڶ 1.ෞҤछ྆Я۩มѣࢨĂϏਕ೩ֻ࣎९ग ֖̃ૉ۞ጯ௫׶ྼᑚ۩มĂͷ৿ͻᔳռ ׶щБّĄ 2.९̃ЯϏ૓ᘃθϠ˭ग̃Ă̫ѐ7͡Я ग̃ᅮˢጯĂ߇ᄃޢֽᄮᙊ۞շϠᏱந ඕ૓൳੃Ăϫ݈Ϥ९؍໰ᜪ̚Ą 3.࣎९ग̃ЫڌҘ൑༼טĂѣវࢦ࿅ࢦ۞ ଐԛĂ֗੼120cmăវࢦ34kgĂBMIŶ 24Ą 1.࣎९Ⴢᛇ۞ԖពᝯใĂ९؍ܑϯЯགྷᑻ Я৵҃൑ڱആ࣎९෴າ۞Ԗ௡ĂԖါă ڋᐝ׶ജజଂϏ୻߾࿅Ą 2.९؍ܑϯᄃАϠ۞ຏଐ̙᏾ĂҭߏАϠ ѣॡົͽϴୢڌҘ۞͞ёֽײΨ९؍Ą ࢦࢋઉ૵ࢍ൪ 1.೩ֻ࣎९ग̃˘࣎፶Ѝ·֖۞щБ ᒖဩ۩มĂዋЪጯ௫׶ྼᑚĄ 2.ग̃ࠎ࿣΃ିዳĂٽజழنĂᅮග ̟ᏐᖚିֈĄ 3.९؍ܑϯग̃۞࿰֨ତ჌̏ѣ޷໰ ׊ආઉ૵͘Ί߉χࠪࡺĂԆјΙ̬ ࡺăBݭքۆăϨಘă৔๋ࢲăϨ ͟ݜ஄Ъࠪࡺă̈׊౫༑˾ڇࠪ ࡺăͪ൰ࠪࡺă༏ৃăམཛྷۆăᇇ ઼౫ৃ஄Ъࠪࡺă͟ώཝۆࠪࡺć ൒҃Ăग̃ϫ݈ᅮࢋഴࢦࢍ൪ͽଠ טវࢦĄ 1.Լౄ׶Հາ࣎९۞ԖዛĂ׎Ⴢ্۞ ᒖဩĄ 2.Լච͈؍ม۞໛఼͞ёĄ छल൴णล߱ ጯ᛬݈ഇ׊ආछल ̚ѐഇछल

ˬăछलΑਕ Ğ˘ğགྷᑻΑਕ ࣎९Ϡঽ݈ߏͽ౻˧̍үࠎ͹â͇̍ྤ ࡗ1,600-1,800̮Ăҭѣ΍Ν̍ү̖ѣ᏿ᅳĂ९؍ ݋ д ᗓ छ ̚ ̙ ᅈ ۞ ҋ ӄ ᐠ ះ χ ̍ Ă ˘ ࣎ ͡ ࡗ 16,000̮Ă׌ˠ۞ќˢࠎछल۞གྷᑻֽ໚Ąϫ݈ ࣎ ९ Я ք ർ ̼ ় ঽ ҃ ᅳ ѣ ࢦ ̂ ๋ ঽ ̈́ ണ ᅪ ͘ ΊĂͷۻঽдԖ൑ڱγ΍̍үĂ९؍˫ᅮдछ ໰ᜪ࣎९Ăͽछल̍̈́͘΍১࿣ጨٗޏٙᔇ଀ ۞᏿Ăүࠎछ̚གྷᑻ۞ֽ໚Ą९ԙ˵םӄซҖ छल΃̍Ẵ׊னޞຽ̚Ăछलќˢॲώ̙֖ ૉछलฟዚĄՅܜܑϯЯ࣎९̈́ԙԙЩ˭ѣ࿣ ጨٗ̄Ăͷٚ১ගᏐଜઇᕠຼᝊĂ߇൑ڱϦኛ Ҳќˢ͗ྃӄĂҭߏ࣎९ᅳѣࢦ๋̂ঽ̈́ണᅪ ͘ΊĂ߇Տ࣎͡Ξᒔ3,000-4,000̮ྃӄĂ९؍˵ അϦኛ࿅12,000̮۞ާᙱାӄܛĂٺణኘ࿅඀̚ ९؍̂кౘ෦छ̚۞གྷᑻયᗟĂഇధ̂ிΞͽ ග̟၁ኳ۞ᑒӄĄ Ğ˟ğଐຏΑਕ ϫ݈छलјࣶ࣎̚९ᄃ९؍۞ֶܢ඀ޘྵ ੼Ă̂кॡ࣏Ϥ९؍໰ᜪ࣎९˘̷Ϡ߿੓اĂ ٺణኘ࿅඀࣎̚९ώ֗ຍ֍͌Ăͷ̃׊к̙ᙸ ણᄃణኘ࿅඀Ă̂кۻԖЃिĂઊົଫீஊĂ ܑϯЯ়ঽᜇ֗҃ຏז൑ӄĄ९؍ᄃ९̃۞ֶ ܢ඀ޘྵҲĂ९؍͕ଐҲརॡΪਕ෦ᄲග࣎९ ᝘Ăٕ၆ዐاڈܑ̓ϯ൑؉Ă९؍ܑϯ९̃̂ кॡมдγವՐ̍үĂ࣎९ग̃Ϗ˯ጯॡĂ̂ кॡม̪Ϥ९؍໰ᜪĄ Ğˬğۤົ̼Αਕ ࣎९छ̚јࣶିֈ඀ޘ౵੼ጯ።ࠎ੼̚Ă ׎Ѩࠎ઼̚Ă҃ˬҜ̈ڈ̓Ӯಶ᝝ρ༴๩Ąछ ̚͹ࢋߏϤ࣎९ઇ̍ᔇ᏿ዳछĂ̈ޅ۞ିֈ׶ Αኝ޽ጱ̂кϤ९؍࢑యĄனд̈ޅܜ̂ඕ૓ ˞Ă҃࣎९ݒۻঽдԖĂͽ࡭छ̚ࢦፉ࠰Ϥ९ ؍ઇ̍͘ᔇ᏿ዳछĂछ̈̚ग̃۞ዳֈЇચ˵ Ϥ࣎९̃׊̈́९؍ֽેҖĄ၆ٺ̄̃۞ିֈĂ ९ܑ̃ϯனд̈ޅᔘ̈ĂΪࢋឰсѣ۞Ыăѣ ۞ࡍăΞͽ˯ጯΝಶૉ˞Ă̙ᅮࢋপҾගс̦ ᆃĂϫ݈֭՟ѣ̦ᆃ̈ޅ۞ିֈࢍ൪Ą៍၅࣎ ९छ̚൑֖ૉឰग̃ྼᑚ׶ᆷүຽ۞ᒖဩٕ۩ มĂͷ͌ѣ̈ޅ۞ە׍Ă̙ዋЪޅආ۞اҝᄃ ൴णĄ Ğαğઉ૵໰᜕Αਕ 1.छलઉ૵ΫĈ࣎९۞ͭᏐѣᎤԌঽĂϓᏐ ѣ੼ҕᑅĂ࣎९ٺ10ѐ݈Я൴னѣ੼ҕᑅĂԌ ᅕ੼ࡗ5-6ѐĂ2008ѐ൴னѣBքăքർ̼Ă࠰ٺ ܜطᗁੰڼᒚڇᘽଠט̚Ă2009ѐ3͡Яҋ൴ّ ཝ΍ҕ҃Җฟ្ఙĂ׀ν઎۳វ൑˧Ăν઎˯ ۳҉҇˧ณࠎ3̶Ă˭۳ࠎ2̶Ą2009ѐ6̈́͡8 ͡ Я ឩ ⿔ ٺ ܜ ط ᗁ ੰ ࠻ ෧ Ă ࡗ ˘ ࣎ ͡ а ෧ ˘ ѨĂπ͟ڇᘽଠטĂ10͡ܐЯ९؍૟Lactulose 20c.c. tid poԼјbidֹϡĂጱ࡭࣎९NH3̿੼ă ຍᙊͣ୻Ăˢܜطᗁੰާ෧ՐڼĄ९؍̈́छ̚ ׎΁јࣶ۞ઉ૵ଐڶ։рĄ 2.ઉ૵ܫهᄃҖࠎĈ࣎९ᅳѣࢦ๋̂ঽăണ ᅪ͘Ίᙋځ׶ઉܲΙĂ߇ᗁᒚ෱ϡྵҲĂҭـ ܔᗁੰᅮӱࢍ඀֘Ă߇Ϲ఼܅෱̂ĂЯѩ९؍ ૲࣎९זᗁੰઇೇઉ۞ຍᙸҲĂ࣎९ѣ̙නڇ ۞ॡ࣏Ă̖ົ͹જՐᗁٕזܢܕᘽԊ෴ᘽĄЯ ࣎९ߏͽၙّ఍͞ᅳפ˘࣎͡ᘽۏٸཉछ̚Ă ९؍ົ૟˘ߐഇᘽۏ̶рٸཉᘽ஼Ă׎ዶٸཉ ๬ቱఠ̰ĂГхٸٺᇀᕢ̚Ăᘽۏ૱צሗͷट ٽ஄д˘੓Ă̶̙୻ңॡֹϡĂᛇ଀ޝӧᕘĄ छ̚฼ࢴݭၗĂ९؍۞ˬᐠϤͭϓ૲ֽĂ࣎९ ۞ˬᐠϤ९؍໤౯Ăͽඓࠎ͹Ă׎ዶјࣶ݋γ ࢴĄ၆ٺϡᐠ۞ॡมᄃၗޘĂ̂кߏѣಶЫĂ ዴ˞̖ЫĄ 3.Ⴢ্ЃिݭၗĈ࣎९̂кॡมౌଳۻԖЃ िĂ९؍࢑య໰ᜪ࣎९̈́ग̃Ă׎ዶॡม݋ઇ छल΃̍ĂჂ্ݭၗ̂кߏϨ͇χሼჂĂ୎˯ ९؍ᄃग̃ͽ2ૺᜆഎЪ׀͞ёჂд࣎९۞֗ य़Ă࣎९ઊົѣჂ্̚ᕝ۞ଐԛĂჂ্ॡมࡗ2-3̈ॡĂົͽڌҘϴ९؍۞͞ёܑϯࢋಅٕͪೱ ԌᏌĄ

4.ҋԧ໰ᜪਕ˧Ĉ࣎९ܑϯҋ̎൑ڱҋҖ߾ ፦ĂЯν઎۳វઐឨĂాซࢴăՀҗă˭Ԗ߿ જౌѣӧᙱĂΐ˯ছވд˟ሁĂछˠ൑ڱܜഇ ࡦ΁ז˟ሁ߾፦Ăπ͟Ϊਕϡᑡ፦͞ёĂٙͽ ֗˯ౌѣਙਙ۞ק྽Ăຏᛇѣ˘ᆸѳݰĂ࣎९ ͹෦Ķৌԓ୕ѣˠਕᑒԧ߾፦Ă̏གྷр˳՟߾ ፦˞ĊķĄ Ğ̣ğछलᑅ˧ᄃЯᑕ ϫ݈࣎९छ̚ѣ९؍໰ᜪ࣎९׶གྷᑻ۞ܜ ഇᑅ˧Ă̈́࣎९۞ঽ඀ត̼Ăֹ९؍ຏזᑅ˧ ޝ̂Ă͹෦ĈĶົፉ͕АϠࡎ൒֗វ̙ዋăڃ ਜ਼ඈĂͽ࡭؆୎ॡ૱ᏹ࿅ֽĂٕ᝘זᓏࢰಶម ᏹĂᛇ଀Ϡ߿ޝღૺĂ૱ຏࡤ൭Ă˵ᛇ଀ޝি ௢ĄޝຐԱॡมЃिĂݒЯࠎᅮࢋ᏿̈́໰ᜪА ϠĂ҃ѓ଀՟ॡมᜪ̈́ҋ̎۞ᅮՐĄķĄॲፂϠ ߿ԼតְІෞࣃछलᑅ˧۞ෞҤĂͽ౵ܕ˘ѐ ൴ϠְІֽෞࣃ࣎९Ă៍၅ѩ࣎९छल۞ᑅ˧ ̶ᇴᓁ̶ࠎ201̶Ă̬ٺд150~300̝มĂᛳٺ ᅅޘϠ߿П፟ĂቑಛѣछलְІăາछˠ۞ΐ ˢă࣎ˠצ๋ٕϠঽă࣎ˠ௫ၚѣࢦ̂Լតă ̍үᗓᖚăੑચଐڶѣࢦ̂Լតćѩॡυืዋ ༊ г ྻ ϡ γ д ྤ ໚ ֽ ྋ ՙ ѩ ࣎ ९ ۞ छ ल ᑅ ˧ ໚ĂͽᔖҺ࣎९۞ઉ૵צזރ਎Ą

छल۞ܜ఍ăऴᕇăઉ૵યᗟ̈́

᜕ந࿅඀

࠹ᙯୃ̰ࢗटኛ֍ܑˬĄ 294 Family Nursing and Creativity

ܑˬāछल۞ܜ఍ăऴᕇăઉ૵યᗟ᜕̈́ந࿅඀ ܜ఍ Бछˠົكѩ ᙯ͕၆͞Ą ͈؍มົ̢࠹ ᙯ͕Ăكѩ࠹ ຑĄ ऴᕇ 1.໰ᜪ࣎९۞̍ үإϏਕ࠹̢ ̶ፉĂӮϤ९ ؍໰ᜪĄ 2 .৿ ͻ གྷ ᑻ ͚ ೯Ą 3.ᒖဩᝯใĄ 4.छलјࣶ၆ك ѩᙯ͕Ăҭ໛ ఼ ̢ જ ፟ ົ ͌Ą ࣎९ົͽϴୢ ۏݡ͞ёซҖ ͈؍ม໛఼Ą ઉ૵યᗟ छलЯᑕਕ˧̙֖ ͈؍໛఼͞ё̙։ ᜕நϫᇾ ਕᆧૻछल ۞Яᑕਕ ˧Ą ਕͽྵ໢׶ ͞ёซҖ͈ ؍ม۞໛ ఼Ą ᜕நନ߉ 1 - 1ࡗࢎՏฉฟ˘Ѩछलົ ᛉ Ă ̶ ੨ ໰ ᜪ ࣎ ९ ۞ ̍ үĂͽ̶ፉ९؍۞ᑅ˧Ą 1-2ϤՏฉ۞छलົᛉ̚Ăခ ᐽछ̚׎΁јࣶĂ้᝘९ ؍̝ຏצĄ 2.ٺछलణෛॡĂםТ׎΁ छᛳВТፋநاछᒖဩĂ ੨Ъ࣎९ᅮՐซҖԖዛԼ ౄࢍ൪Ą 3.Я࣎९ಈрЫͫᔦĂϤ᜕ நˠࣶፉЇ໛఼፜ሇĂࡗ ؠБछˠ۞ॡมĂٺణෛ ഇมםӄ̂छ˘੓ซҖͫ ᔦซᐠ߿જĂͽᆧซछलј ࣶม໛఼̢̈́જ۞፟ົĄ 4.םӄᓑඛ੼ฯᎩۤ̍̈́ࡓ ˩фົĂͽ೩ֻ࣎९ޢᜈ ۞໰᜕̈́೩ֻགྷᑻ͚೯Ą 1.םӄ࣎९ᄦౄཆٺԖᙝ۞ щБΨˠ࿚Ą 2.Ξྻϡ࣎९ᄃग̃ม։р ᙯܼĂטࡗ࣎९ϴڌҘҖ ෞࣃ 1.छलјࣶΞ̶ ፉ࣎९۞໰᜕ ̍үĄ 2.࣎९̈́छᛳΞ ٺ ᅮ ࢋ ͚ ೯ ॡĂᒔ଀ዋ༊ ۞םӄĄ 3.࣎९၆ٺԼౄ ޢ̝Ԗዛܑϯ ܧ૱႕ຍĂͷ ׎Ⴢ্ېڶ̏ ԼචĄ 4.ซҖͫᔦ߿જ ࿅඀̚Ă࣎९ ܑ ϯ ܧ ૱ ฟ ͕Ăຏᔁ᜕Ϡ םӄᆧซछल ј̢ࣶજ۞፟ ົĄ ࣎९၆ٺ໢ᛟΨ ˠщБ࿚ຏזܧ ૱႕ຍĂ˵྿ז ͈؍ม։ّ໛఼ छलր௚ ፋ࣎छलր௚ ͈؍Ѩր௚

ܑˬāछल۞ܜ఍ăऴᕇăઉ૵યᗟ᜕̈́ந࿅඀(ᜈ) ܜ఍ ࣎९ᄃग̢̃ જ։р ९ԙົ͹જם ӄ࣎९۞ொજ ࣎९۞ّ࣎ྵ ਕԡ࡝Ă࠻ޞ ְۏྵᄮ׻Ą ܑ྿ਕ˧ָĄ ऴᕇ ͭϓᄃ̃׊ม۞ ໛఼Ѩᇴ͌ ໛఼Ѩᇴ͌Ăᔿ ͌ᄃ࣎९̈́׎΁ छलјࣶϹኘĄ 1.࣎९ҋҖڇᘽਕ ˧ म Ă ͷ ৿ ͻ ၆ ٺ ᘽ ݡ ̈́ ᘽ ۏ გ ந ۞ ᄮ ۢĄ 2.࣎९ν઎۳វ߿ જ Α ਕ ᅪ ᘣ Ă ൑ ڱ ҋ Җ ે Җ ՚ছ߿જĄ 3.࣎९അࢋՐຐࢋ ՚ ছ Ă ҭ Я Җ જ ̙ ܮ Ă ९ ؍ ಏ ፾ ם ӄ ѣ ӧ ᙱ Ă छ ̚ ј ࣶ ົ ѣ ن ர ໰ ᜕ ࣎ ९ ૄ ώ Ϡ ந ᅮՐĄ 1.ग̃ࠎ˞႕֖ҋ ̎ ᅮ Ր Ă གྷ ૱ ΍ ன ࿅ Њ ࢋ Ր Ă ѣ ᅮ Ր Ϗ జ ႕ ֖ ົ ͽ ࣵ ጂ͞ёܑ྿Ą 2.ग̃֗੼Ĉ120 ̳ ̶ Ă វ ࢦ 3 4 ̳ ͝ Ă B M I Ĉ 24Ą ઉ૵યᗟ 1.ͭ̃ม৿ͻ໛఼ 2.ϓ̃ม৿ͻ໛఼ ৿ͻΈԙ̈́׎΁ˠ ࣶม໛఼ 1.൑ड़ّઉ૵ჯ᜕ ਕ ˧ / প ؠ ٺ ϡ ᘽ͞ࢬ 2.՚ছҋԧ໰ᜪਕ ˧৿ε ग̃۞Җࠎă฼ࢴ ௫ၚă׶វࢦඈય ᗟĄ ᜕நϫᇾ ᆧΐᏐ̄ม ۞໛఼ᐛத ᆧΐΈԙม ۞̢જᙯܼ 1-1.ਕૉᆧ ซ࣎९၆ ϡᘽ۞ᄮ ۢ 1-2.࣎९ਕ ૉԼචᘽ ۏ۞ܲх ͞ё 2.࣎९ਕૉ ٺםӄ˭ ซҖ՚ছ ߿જ 3.छᛳਕૉ ͹જؠഇ םӄ࣎९ ેҖ՚ছ ߿જ 1.ֹग̃ਕ ૉ˞ྋϒ ቁ۞ᅮՐ 2.ग̃ਕૉ ੨Ъϒ૱ ࢴۏ۞ᛷ פ ᜕நନ߉ ࠎĄ 1.ޙᛉ̃׊ੵ˞Ա̍үͽγ ۞ॡมĂкౖҡͭϓĂ֭ ᄃ ׎ ௭ ͇ Ă ם ӄ ࣎ ९ ߿ જĄ 2.ခᐽ̃׊ણᄃ९؍۞̍͘ ߿જĂͽᆧซكѩม۞̢ જ፟ົĄ 3.Ξྻϡग̃үࠎ̃׊ᄃͭ ϓม໛఼۞፜ሇĄ 1.ခᐽ࣎९ٺ९ԙםӄொજ ॡĂкග̟ϒШ۞а㒝Ą 2.ޙᛉछ̚јࣶкᄃ९ԙϹ ኘ໛఼Ą 1.ќะ۩ឫᘽ஬Ă֭೩ֻГ Ӏϡ̝ӵᔤఠĂͽ࿰֨ᘽ ۏሗᒅĂͷ̶Ҿٸཉ̙Т ۞ᘽ஬̚Ăିጱ࣎९ϒቁ ϡᘽ͞ڱ̈́ॡมĂ׶ᘽۏ үϡĂ֭೩ֻ̈ૺ኎ିಏ ૺͽֻ࣎९Ᏸᙊᘽۏ۞჌ ᙷĄ 2.ྻϡ̙Г˭ܥ߾ᐝಽĞګ ආಽğĂିጱछᛳ՚ছ߾ ᐝ۞ԫμĄ 3.Լ։዁എࠎ՚ছഎĂͽ೩ ֻ࣎९Я൑ڱ˭ԖĂҭ˫ ΞͽщБ୽ছ۞͞ёĄ 1.ခᐽग̃кͽ֏ᄬ໛఼͞ ё Ă ᄃ ܫ Ї ̝ छ ल ј ࣶ Ğ९؍ğ੅ኢ׎ᅮࢋۏݡ ̝ υ ࢋ ّ Ă ዋ ༊ ̟ ͽ ି ጱĄ 2.ିጱछल̚͹ࢋ໰ᜪ۰̝ ϒቁࢴۏ໤౯̰टĂ኎ି ׎ग̃ྍѐ᛬ᆸᒉዳᅮࢋ ̝ಏૺĂ೩ֻϒቁࢴۏᛷ פĂ̻ග̟࿅к໡ຑ̝׾ ӰࢴݡĂּтĈᎤڍă฼ फ़Ą ۞ϫ۞Ą ͭϓ̈́̃׊ม໛ ఼ѨᇴᆧΐĂ၆ كѩ۞ຐڱѣϒ Ш۞а㒝Ą ९ ԙ ࣎ ّ ྵ щ ᐖĂᄃ࣎९׶छ ̚ј̢ࣶજᙯܼ ̪ჯ޺னېĄ 1.࣎९̈́९؍ܑ ϯֹϡ˘ϫᒢ ൒֨ሗଡ଼̈́኎ ିಏૺޢĂᆧ ซҋ̎၆ٺᘽ ݡგந̈́ڇᘽ ᄮ ۢ ᆧ ซ ̙ ͌Ą 2.࣎९౵̂ေຐ ಶߏຐ߾፦Ă ၆ٺ᜕Ϡםӄ ׎՚ছĂܑϯ ܧ૱႕ຍĄ 3.९؍̈́̃׊ܑ ϯΞؠഇࠎ࣎ ९ેҖ՚ছ߿ જĄ 1.ग̃னᄃछल јࣶ̚໛఼͞ ёྵ̙ͽࣵጂ ͞ёܑனĄ 2.९؍ܑϯᙸຍ םӄग̃វࢦ ଠטĂͷ੨Ъ ᒉዳᛷפĂ̙ ࿅ޘග̟׾Ӱ ࢴۏĄ छलր௚ Ꮠ̄Ѩր௚ ֖͘Ѩր௚ ࣎ˠѨր௚/ Ğ९͈ğ ࣎ˠѨր௚ / Ğग̃ğ ෞࣃ

౹ຍ᜕ந߿જ

౅࿅ώ௡јࣶ۞ෞҤ̶̈́ژٙѣछल۞᜕ நନ߉Ăՙؠͽ௑Ъ࣎९۞ᅮՐࠎ͹คĂӀϡ ౹ຍޥ҂̚۞ԼតăᖼೱăాඕඈໄهĂ੫၆ αี᜕நନ߉నࢍ௑Ъ࣎९፾পᅮՐ۞౹ຍ᜕ ந߿જĂ̶ҾࠎĈ˘ă˘ϫ˞൒֨ሗඌĂ˟ă ̙ϡ৒ˠ࿚Ăˬặ̮๪ေഎĂαăಈາနᖞ නڇ჏ć֭૟ѩαี౹ຍ᜕ந߿જ௚ჍࠎĶʄ ୻۞๪ေķĄͽ˭̶Ҿೡࢗαี౹ຍ᜕ந߿જĈ ˘ă˘ϫ˞൒֨ሗඌ(֍ဦ̣) ྻ ϡ ૜ ދ ఠ ă ܲ ᔿ ஼ ٺ ͪ ڍ ă ᄘ ᐢ ă ҇ ᙷă઀ڍᙷࢴݡ۞ќхĂΞͽܲᔿ̈́ќৼඈໄ هĂΐ˯ӵᙥఠ̈́ࢴݡ૜ދఠ׍ѣܲᔿ̈́֨ሗ ΑਕĂ׶ߡͿظឫ྅થݡٙౘЕᕚన۞ឫ̄Ă ׍ѣ૜ދ̈́ќৼΑਕĂүࠎᘽឫፋវాඕ۞ၹ ຐĄ౹ү߹඀т˭Ĉ Ğ˘ğШੰ̰ᘽԊ৶פ̂̈ዋ̚઀ஐࢋаќ ۞ᘽឫ̈́ќะ઀ஐ̈۞ӵᙥఠĄ Ğ˟ğՏ஬ᘽឫ˯̶ҾොځϡᘽॡมĂтĈ ѝă̚ă୎ăฺ݈ăฺޢăჂ݈Ą Ğˬğםӄ૟ᘽۏֶՏᐠϡᘽॡมٸˢӵᙥ ఠ̰֭૜ދĂГ૟ᘽۏ̶ᙷٸˢᘽឫĄ Ğαğࠎ˞͞ܮ९؍ਕૉ̶ᏰᘽۏĂ૟ᘽឫ ̰۞ᘽۏĂפ΍˘Β෭ٺᘽឫγࢬĄ ˟ă̙ϡ৒ˠ࿚(֍ဦ̱) Я࣎९छܝ˾֘ͪ੺ᐷޝӝĂ࣎९ѣְײ Ψ९؍ॡĂ९؍૱᝘̙֍Ă࣎९ົͽใϴڌҘ யϠ΍ֽ۞ᓏࢰֽײΨ९؍Ąώ௡јࣶᄮࠎѩ ໛఼͞ёܧ૱Пᐍâ̙͕̈ົχזˠĂ߇Т ጯྻϡཝ˧፬ᒜĂޥ҂ᗁੰΨˠ࿚ߏϡ࿪ቢĂ ҃̈ޅە۞͘ອ࿚̰ߏٸ˘࣎̈࿚ᜡົ̢࠹ᇠ ᑝயϠᜩᓏĄ౵ޢĂώ௡јࣶӀϡܲপ஬ΐ˯ ࡓ֑Ăଳϡዩજᓏگ۞ࣧநĂםӄ࣎९నࢍ˘ ࣎͘ອё۞Ψˠ࿚Ą౹ү߹඀т˭Ĉ૟ྤ໚а ќܲপ஬߾ஐĂ྅ࡓ֑ࡗ10ᔺٺ۩ܲপ஬̰૟ ஬ᄏᄏღĂפቢ˘୧ཆٺ۩ܲপ஬ದ˾˯Ăд ۩ ܲ প ஬ ֗ ˯ Β ˯ ˬ ᆸ ο ᄃ ᓀ ˯ ˘ ֱ Ξ ຑ ဦ ͯĂཆд࣎९Ԗᐝ݈Ą ˬặ̮๪ေഎ(֍ဦ˛ăˣ) ࣎९ЯҖજ̙ܮĂ̈́اछᒖဩЯ৵Ăܜഇ ͽֽౌߏϤ९؍̟ͽБ֗޹ছĂ࣎९ܑϯޝ˳ ՟ϡͪ୽֗វ߾፦Ăޝຐ୽ছĄώ௡јࣶӈࠎ ࣎९నࢍ˘࣎๪ေഎĂ˜ྻϡᖼೱໄهĂͽ˘ ਠ዁എซҖԼ։ޢĂആ΃՚ছ዁എ۞ΑਕĂם ӄ࣎९ซҖ߾፦߿જĄ౹ү߹඀т˭Ĉ՚ছ዁ എགྷϤᖼೱໄهĂ૟࣎९छ̚ӈѣ۞ၦᝑё዁ എइ˯གྷᑻ၁೎۞෹ཱི̂׾ӰఠĂٺซҖ୽ছ ॡ൴೭֨ͪүϡĄ

296 Family Nursing and Creativity

ဦ̱ ̙ϡ৒ˠ࿚

αăಈາနᖞනڇ჏(֍ဦ˝ă˩) ࣎९ЯҖજ̙ܮĂ̈́اछᒖဩЯ৵Ăдछ ̚ޞ౵˳۞г͞ಶߏԖĂԖዛᝯ˫ଂ՟୻߾׶ Հາ࿅Ă߇ώ௡јࣶםӄ࣎९Ҷཉනڇ჏Ăྻ ϡԼតăඕЪăᖼೱăആ΃۞ໄهĂޥ҂΍፾ ˘൑˟۞నࢍநهĂд࣎९Ԗᐝଭ˯ᖤҗਨဦ ൪Ăֹ࣎९дЃि̚ĂΞͽࣚຐҋ̎ଆޣд͟ ώΔঔ྽۞ᖤҗਨ܅Θ༊̚Ăͷд࣎९Ԗय़ႍ ᖤҗਨჟڵĂֹ࣎९୎˯ਕԣԣซˢေฏĂГ ٺ࣎९۞ᖞԖዛٸ˯ҁरᙒӄ۞ജజ׶ڋᐝĂ ႍ֭˯ᖤҗਨჟڵĂ׎ዶ̙֖۞ొЊϤώ௡ј ࣶҋଶཕΒĂڌരҘരĂᔉཉ˘າԖါĂ޸ര ΍˘इ፾˘൑˟۞ᖤҗਨࢲקԖ௡Ą

࡭ ᔁ

ώछल᜕ந࿅඀ಡӘਕૉԆјĂੵ˞ү۰ ཏγĂ̪൒ຏᔁధฮൽăᏥϜтăӓָզăౘ ۘӤăӓڄሒඈТጯ۞ЪүĂ̈́ۤડՅܜٙ೩ ֻ۞ྤੈ׶םӄĄ౵ޢĂຏᔁ੼ฯᎩۤ̍̈́ࡓ ˩фົ፟ၹĂٺώ௡јࣶछణ᜕̈́ந࿅඀ޢĂ ̪൒ᙸຍ޺ᜈᙯᘃѩ࣎९छलĂֹѩ̚Ҳќˢ ͗ຏצזۤົ۞ᙯᘃ׶໢ືĄ

ણ҂͛ᚥ

̰߆ొ(൑͟ഇ)ąᅃ׍ྤ໚ˢ˾შ৭ą2009ѐ11 ͡21͟פҋhttp://repat.moi.gov.tw/ᅃ׍ྤ໚ ˢ˾შ৭ ͞৵᛻(2001)ąछलᑅ˧ሀёд̰γࡊঽ̝ٗᑕ ϡą᜕நᗔᄫĂ48(4)Ă78-83Ą ဦ˛ ՚ছ዁എ ဦˣ ̣̮๪ေഎ ဦ˝ ᖞԖ௡ ဦ˩ ಈາနᖞනڇ჏

ϒݡఠဂᚗᚗρ׊߾ᐝಽ (൑͟ഇ)ąщБ߾ᐝಽ ᚗᚗГ˵ُ̙߾ᐝą2009ѐ12͡20͟פҋ http://shop33343581.tao-bao.com ֩ტЪᗁੰᘽ጗ࡊ(൑͟ഇ)ąᘽۏܲхą2009ѐ 1 2͡ 2 0 ͟ פ ҋ h t t p : / / b l o g . y a m . c o m / zeelandia123/trackback ܘܛළăग؟ᇊăౘ୿ᅛ(2006)ąםӄ˘Ҝ͹ࢋ ໰ᜪ۰ഴᅅ֗ă͕ăۤົăགྷᑻ࢑ఈ۞໰ ᜕གྷរąܜഇ໰᜕ᗔᄫĂ10(2)Ă167-177Ą ܘୁማăͳսࡓ(2004)ąͽĶछलࠎ͕̚۞໰᜕ķ ώኳ̝ޥ᜜ą᜕நᗔᄫĂ51(3)Ă53-58Ą ߸սР(2006)ąछल᜕நᄃछलణෛ၁ચąٺధ ം൶ᓁ७ዦĂۤડ኎Ϡ᜕நጯ(˟ۍĂ1-63 ࢱ)ąέ̚Ĉරॾ֤Ą ౘսт(2000)ąኘщှاछᒚ᜕̝ࢵůछलෞ Ҥąщှᒚ᜕ᗔᄫĂ5(1)Ă9-15Ą ౘ୿ࠡă໅ᚊ࿚(2002)ąྻϡΙΐϲछलෞҤሀ ё ٺ ۤ ડ ኎ Ϡ ᜕ ந གྷ រ ą੼ ฯ ᜕ ந ᗔ ᄫ 19(1.2)ą74-86Ą ధ୿ୂăܘୁማ(2003)ąछल໰ᜪ۰۞ᑅ໚ᄃЯ ᑕ Җ ࠎ ů ͽ ˘ ࣎ ͚ ޺ ဥ វ ࠎ ּ ą᜕ ந ᗔ ᄫĂ50(5)Ă47-55Ą ඀࡚ϜăధϜࣦăᜪฮӀ(2001)ąྻϡछलෞҤ ሀёٺۤડ̚छल࣎९᜕̝நགྷរą੼ฯ Ꭹ᜕நर᜕̳̀ົΏĂ13Ă3-21Ą ᑛӖࣅăڒӾऍ(2002)ąྻϡछलෞҤٺܜഇۻ Ԗঽˠ׎छलአዋ᜕̝நགྷរą઼ϲᄂΔ ᜕நጯੰ᜕ந(ጯ)րጯΏĂ51-67Ą ᔁംҳăเ೎ᎀ(2005)ąᑕϡछलෞҤሀёٺۏ நڼᒚ̝གྷរů̚ࢲ࣎९ಡӘą઼ϲᄂΔ ᜕நጯੰ᜕ந(ጯ)րጯΏĂ3 0 ( 5 ) Ă243-249Ą

Stanhope, M., & Lancaster, J.(1992). The individual and family as client: A developmental approach. Community Health Nursing (3rd edition, pp. 25-32). St. Louis, MO: Mosby Year Book.

ABSTRACT

Hsui-Chi Hung (2006) FFAM was used as the core of family assessment model to conduct the family creative nursing process. The family has the problems of the ineffective copying and communication. The case has the problems of the ineffective health maintaining/especially in using medicines and bathing self-care deficit. The granddaughter has the problems of behavior, eating habit, and body weight. The members of the caring team focused on the case of the family and designed four creative nursing activities integrated as “the dream of A Chin”, including “understanding and preventing humid of bottle”, “bell without hitting”, “five dollars of dream coming true chair”, “joyful new and hateful old of comfortable bed”.Through the four creative nursing activities, the case completed his wish, changed the way they communicated, improved the management of medicines and comfort levels of physical and sleeping environment. By way of the nursing process for the low social-economic family from nursing students, it is expected the case and family members can feel the caring and warm of human beings.

Key words: family nursing, creativity.

Applying the Creative Nursing Activities into a

Case of Family Nursing Process

Hui-Ying Tsai

_{ąYa-Ni Tsai*ąHsueh-Feng Chiang**ąYi-Ping Lin***ąLi-Hua Yeh****ą}

Hui-Ting Tsai*****

ąYa-Lie Ku******

RN, BSN, Department of Nursing, Yuan’s General Hospital, *RN, BSN, Department of Nursing, Chang Gung Memorial Hospital-Kaohsiung Medical Center, **RN, BSN, Department of Nursing, Yuan’s General Hospital, ***RN, BSN, Department of Nursing, Kaohsiung Medical University Chung-Ho Memorial Hospital, ****RN, BSN, Department of Nursing, Chang Gung Memorial Hospital-Kaohsiung Medical Center, *****RN, BSN, Department of Nursing, Yuan’s General Hospital, ******Assistant Professor, Department of Nursing, Fooyin University

Received: March 30, 2010 Revised: June 18, 2010 Accepted: June 21, 2010

Address correspondence to: Ya-Lie Ku, Department of Nursing, Fooyin University. No. 151, Chin-Hsueh Rd., Ta-Liao District, Kaohsiung City, 831 Taiwan, R.O.C. Tel.: 886-7-7811151 ext. 5612; E-mail: ns126@mail.fy.edu.tw