嬰兒點頭型痙攣的症狀及預後對於病童的身心發展與主要照顧者的生活品質均造成衝擊。本文為運用Watson 的十項關懷照護理論,照護一位4 歲5 個月罹患嬰兒點頭型痙攣接受腎上腺素荷爾蒙療法之兒童及主要照顧者,護理過程運用「有系統的使用科學解決問題方法來做決定」、「增進並接受正負向感受的表達」等關懷照護行為以滿足病童與主要照顧者之身、心與社會之需求。於病童住院過程中提供以家庭為中心之護理,與病童及案母建立互信關係,促使其了解治療與疾病照護方式,增進主要照顧者照顧病童之能力,協助處理病童接受治療過程中造成的疼痛、營養狀況多於身體所需等護理問題,進而減輕住院壓力。 There is evidence of the impact of infantile spasms on the physical and mental development of children. This article explored the application of Watson's caring theory to the primary caregiver of a child aged four years and five months, who was suffering from infantile spasms and had received adrenocorticotropic hormone therapy. The physical and social-psychological needs of the child and the primary caregiver were fulfilled through the application of care and concern. After the caring behavior had been practiced, relationships of mutual trust were developed amongst the child, his mother and the primary nurse. Finally, the processes enabled the child and his mother to deal with infantile spasms. The caregiver was also able to gain an understanding of how to properly care for a child suffering from infantile spasms. Moreover, the stress caused by being hospitalized was decreased. Lastly, the caring theory provided the idea of family-centered care.