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題名:協助一位子宮內胎兒死亡之初產婦適應住院引產壓力的護理經驗
書刊名:護理雜誌
作者:師慧娟
作者(外文):Shih, Hui-chuan
出版日期:2004
卷期:51:5
頁次:頁101-107
主題關鍵詞:子宮內胎兒死亡初產婦住院引產PrimiparaIntrauterine fetal deathLabor inductionHospitalization
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:9
  • 點閱點閱:136
     本文是描述一位飪娠二十六週,因自覺無胎動,經門診超音波發現無胎心跳,確定子宮內胎兒死亡之初產婦,於住院期問引產適應壓力的護理經驗。筆者為個案之全責護士,照護期間自91年3月21日至91年3月28日,應用羅氏適應模式的護理過程與個案建立良好的人際關係後,藉由觀察、會談、身體評估等方式收集資料。在本研究中確立個案的護理問題有:(1)失去孩子的哀傷;(2)失去母職的挫敗感;(3)面對先生感到罪惡不安;(4)面對醫療過程的不信任;(5)引產造成的疼痛。針對其問題,給予的護理重點是:(l)減輕個案及家屬因失去孩子造成的衛擊與壓力;(2)協助個案接受失去孩子的事實;(3)協助個案與先生有良好的溝通,並加弦此支持系統;(4)協助個案接受醫療行為;(5)減輕引產造成的不適。整個住院過程,研究者協助個案面對此壓力事件,在生理調適、自我概念、角色功能及相互依賴各方面不斷適應,進而接受失去孩子的事實,維持健康的自我形象。
     This article describes the experience of nursing an outpatient primipara in the 26th week of pregnancy who was not conscious of fetal movement and whose fetus was confirmed by sonography as having suffered intrauterine fetal death to adapt to labor induction as a hospital inpatient. The nursing care lasted between March 21 and March 28, 2002. I (the researcher) tried to use the well established Roy Adaptation Model of Nursing to collect information through observation, interview, and physical assessment. The subject’s nursing problems included: 1 .The sadness of losing child. 2. The frustration of not being able to take on the mother’s role. 3. Feeling evil and sorry when facing her husband. 4. Doubting her course of medication. 5. Pain due to labor induction. In accordance with the situation, the main nursing strategies were: 1. To reduce the shock and pressure for the subject case and her family due to the loss of a child. 2. To help the subject accept the fact of loosing her child. 3. To help the subject and her husband to communicate well and establish support systems. 4. To help the patient to be receptive to medical treatment. 5. To reduce discomfort from labor induction. During the hospitalization, the researcher helped the subject case to face stress and adapt to physiological accommodation, develop a concept of herself, her functional role and interdependence and then accept the fact of losing child and maintain a healthy body image.
期刊論文
1.Zahourek, R.、Jensen, J. S.(1973)。Grieving and the loss of the newborn。American Journal of Nursing,73(5),836-839。  new window
2.Lake, M. F.、Johnson, T. M.、Murphy, J.、Knuppel, R. A.(1987)。Evaluation of a perinatal grief support team。American Journal Obstetrics and Gynecology,157(5),1203-1206。  new window
3.Sadler, M. E.(1987)。When your patient’s baby dies before birth。RN,50(8),28-30。  new window
4.林雁秋、顏妙芬(2003)。協助一位急性腎衰竭母親面臨新生兒死亡的護理經驗。慈濟護理雜誌,2(2),90-96。  延伸查詢new window
5.楊玉娥(19960300)。婦女面對子宮內胎兒死亡之認知反應。護理雜誌,43(1),64-70。new window  延伸查詢new window
6.鍾聿琳(19920600)。談失落母親與家庭之護理。國立臺北護專學報,9,1-18。  延伸查詢new window
7.Stierman, E. D.(1987)。Emotional aspects of perinatal death。Clinical Obstetrics and Gynecology,30(2),352-361。  new window
8.楊玉娥(1995)。高血清胎兒蛋白孕婦接受羊膜穿刺術前後之主觀經驗。慈濟醫學,7(3),195-202。  延伸查詢new window
圖書
1.Sherwen, L. N.、Weingraten, C. T.、Scoloveno, M. A.(1995)。Nursing care of the childbearing family。Norwalk, CT:Appleton and Lange。  new window
2.Bobak, I. M.、Jensen, M. D.(1987)。Essentials of maternity nursing: The nurse and the childbearing family。St. Louis, MO:The C. V. Mosby。  new window
3.Clark, Ann L.、Affonso, Dyanne D.、Harris, T. R.(1979)。Childbearing: a nursing perspective。Philadephia:F. A. Davis Co.。  new window
4.Kubler, R. E.(1970)。On death and dying。New York:Macmilliam。  new window
5.May, K. A.、Mahlmeister, L. R.(1990)。Comprehensive maternity nursing。Philadelphia:J. B. Lippincott。  new window
6.Rubin, R.(1984)。Maternal identity and the maternal experience。New York:Springer Publishing Company。  new window
圖書論文
1.蕭伃伶(1997)。週產期危險家庭的護理。產科護理學。台北:華杏。  延伸查詢new window
2.柯淑華(2002)。分娩期異常的護理。實用產科護理。台北:華杏。  延伸查詢new window
 
 
 
 
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