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題名:一位心臟病病嬰及其父母之照護經驗
書刊名:弘光學報
作者:陳玉旻雷若莉 引用關係黃立琪張鳳媛
作者(外文):Chen, Yu-minLei, Ruoh-lihHuang, Li-chiChang, Feng-yuan
出版日期:2008
卷期:52
頁次:頁47-54
主題關鍵詞:父母開心手術無創傷性照護先天性心臟病ParentsOpen heart surgeryAtraumatic careCongenital heart disease
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 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:0
  • 共同引用共同引用:26
  • 點閱點閱:99
  本文旨在探討照護一位完全大動脈轉位矯正、心室中膈缺損修補及動脈導管關閉等修補手術的病嬰及瑯父母之護理經驗。者於急性加護病房共十五夾的護理期間,以觀察、訪談、評估、記錄等技巧,進行生理、心理、社會及靈性等層面的資料收集,根據資料而確立了護理問題如下:低效性呼吸型態、心輸出量減少、疼痛、照顧者角色緊張、潛在危險性父母/嬰兒依附關係改變。研究者以無創傷性照護的護理理念,協助父母面前對病嬰手術急性期的緊張和焦慮。由此次經驗發現,護理人員可成為個案與其父母的支持者、諮詢者及照護提供者。同時,若能及早觀察並處理個案的護理問題,將可協助其接受並克服急性期的情境;此外,我們亦應授權給家屬以幫助其發現照護先天性缺陷兒的技巧,並提供資源以促進家屬於家庭危機過程的適應。
  The case study was to explore the nursing care for an infant with corrective surgery of complete TGV, VSD, and PDA and his parents. The skills of observing, interviewing, assessing and recording were used to collect the data of physiology, psychology, society and spirituality which were the case and family during fifteen days in acute intensive care unit. According to the data, the researchers concluded the nursing problems as below: ineffective breathing pattern, decreased cardiac output, pain, caregiver role strain, risk for impaired parent/infant attachment. Therefore, researchers used atraumatic care to enable parents to face up the nervous and anxiety about child and his operation in the process. As the result, nurse can be a supporter, consultant and caregiver during this experience. Meanwhile, to observe and to deal with the nursing problem early can support parents to accept and overcome the situation of acute stage. Also, we should empower family to find out the care skills for their congenital defect infant and provides supply resources to promote the adaption in the process of family crisis.
期刊論文
1.高玉玲、王如華、白璐、黃碧桃(20000200)。先天性心臟病學童手術後生活適應之探討。護理雜誌,47(1),43-55。new window  延伸查詢new window
2.戈依莉(19981000)。新生兒加護病房中父母親的壓力。護理研究,6(5),427-435。new window  延伸查詢new window
3.洪彗綺(20040300)。運用無創傷性照顧原則護理一位學齡前白血病童。榮總護理,21(1),35-44。new window  延伸查詢new window
4.陳秀倩、蔡佳玲(20031200)。運用「以家庭為中心」理念於一位受虐兒童家庭之照護經驗。護理雜誌,50(6),79-86。new window  延伸查詢new window
5.陳懷民(2004)。小兒先天性心臟病的手術照護。高醫醫訊,23(11),17。  延伸查詢new window
6.黃書健、張重義(20030200)。先天性心臟病術前與術後的照顧。中華民國新生兒科醫學會會刊,12(1),4-12。  延伸查詢new window
7.Brown, K. L.、Ridout, D. A.、Goldman, A. P.、Hoskote, A.、Penny, D. J.(2003)。Risk factors for long intensive care unit stay after cardiopulmonary bypass in children。Critical care Medicine,31(1),28-33。  new window
8.Fisher, H. R.(2001)。The needs of parents with chronically sick children: a literature review。Journal of Advanced Nursing,36(4),600-607。  new window
9.Limperopoulos, C.、Majnemer, A.、Sbevell, M. I.、Robllicek, C.、Rosenblatt, B.、Tcrervenkov, C.(2002)。Predictors developmental Disabilities after open heart surgery in young children with congenital heart defect。The Journal of Pediatrics,141(1),51-58。  new window
10.林秋萍(19951200)。心臟手術後病童之立即加強照護。榮總護理,12(4),293-300。new window  延伸查詢new window
11.李淑莉、陳月枝(20010400)。兒童經歷開心手術治療過程母親的壓力源及因應行為。護理研究,9(2),172-182。new window  延伸查詢new window
12.陳姝蓉、黃美智(19990900)。以家庭為中心的護理--發展遲緩兒童父母之態度與因應行為。榮總護理,16(3),254-263。new window  延伸查詢new window
圖書
1.Wong, D. L.(2003)。Whaley & Wong’s Nursing care of infants and children。St. Louis:Mosby。  new window
其他
1.中華民國心臟病兒童基金會。成立原由及發展,http://www.ccft.org.tw/index01.htm, 2005/12/01。  延伸查詢new window
圖書論文
1.陳銘仁、黃浩魁(2001)。心臟血管系統疾病。臨床兒科學。台北:嘉洲。  延伸查詢new window
 
 
 
 
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