— 心理社會完整性 · MEDIUM · MCQ —
一位患有創傷後壓力症候群（PTSD）的病人來到診所，哪項護理行為體現了「創傷知情照護」的原則？
A client with post-traumatic stress disorder (PTSD) is brought to the clinic. Which nursing action demonstrates the principles of trauma-informed care?
- AMaintain consistent eye contact to show engagement保持持續的眼神接觸以顯示投入
- BEncourage the client to talk about the traumatic event immediately鼓勵病人立即談論創傷事件
- CLimit interaction time to avoid potential triggers限制互動時間以避免潛在的觸發因素
- DExplain the purpose of all procedures before performing them✓ 正解在執行所有程序前說明其目的
— Explanation · 中文詳解 —
創傷知情照護（Trauma-Informed Care）核心在於提供安全感與預測性。解釋過程能消除不確定感，降低病人的恐懼。強迫回憶創傷可能會造成二度傷害，而過度注視可能引發防禦反應，應以病人舒適程度為優先。
Trauma-informed care rests on safety, choice, trustworthiness, collaboration, and empowerment. Explaining every procedure beforehand provides predictability and a sense of control—central to restoring safety. Forcing disclosure of the trauma re-traumatizes; intense eye contact may feel threatening; limiting interaction does not teach coping and increases isolation.
✦ 台美臨床差異
美國心理健康照護體系對於 Trauma-Informed Care 有標準化訓練；台灣目前仍在推廣階段，臨床對創傷敏感度差異較大。