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題名:運用低溫療法於新生兒窒息之照護經驗
書刊名:護理雜誌
作者:王茉美王美華
作者(外文):Wang, Mo-meiWang, Mei-hua
出版日期:2013
卷期:60:6
頁次:頁103-109
主題關鍵詞:低溫療法新生兒窒息Hypothermia therapyNeonatal infantAsphyxia
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:2
  • 點閱點閱:79
運用低溫療法治療新生兒缺氧缺血性腦病變,可降低窒息的新生兒發生相關的合併症及死亡率。本文為應用低溫療法於新生兒窒息之照護經驗,本病房因無冷卻裝置執行低溫治療,臨床實務上僅能使用增減冷水袋的數量、溫度以進行低溫療法,過程雖艱辛但也成功地挽救個案生命,照護過程中提供以家庭為中心的護理,使個案渡過疾病的急性期,也協助案父母面對個案病危所產生的焦慮與愧疚,使案父母能減輕焦慮、不安的情緒反應,並與個案建立起親子關係,達到整體性照護之護理目標。然而,低溫療法運用於新生兒尚處於初始階段,未來應建立相關照護標準以提供安全有品質的照護,使低溫療法能繼續應用於治療新生兒窒息的病人。
Hypothermia therapy, used to treat hypoxic-ischemic encephalopathy in neonates, has been shown to effectively decrease asphyxia complications and mortality. This article reports on an experience using this therapy approach to care for a neonatal asphyxic patient. Due to our lack of an appropriate cooling device, we adjusted the number of cool water bags to successfully perform hypothermic therapy. Despite this added procedural complication, we succeeded in saving the patient’s life. The holistic care process for this type of case requires family-centered care to help family members deal with the critical condition and assist parents to face depression and guilt, reduce anxiety, and reaffirm the parent-child relationship. We used hypothermia in the initial stage. Relevant standards of critical care for this condition should be established to ensure adequate nursing care safety and quality.
期刊論文
1.Cooper, D. J.(2011)。Induced hypothermia for neonatal hypoxic-ischemic encephalopathy: Pathophysiology, current treatment, and nursing considerations。Neonatal Network:The Journal of Neonatal Nursing,30(1),29-35。  new window
2.Fegran, L.、Helseth, S、Slettebø, A(2006)。Nurses as moral practitioners encountering parents in neonatal intensive care units。Nursing Ethics,13(1),52-64。  new window
3.Horn, A.、Thompson, C.、Woods, D.、Nel, A.、Bekker, A.、Rhoda,N.、Pieper, C(2009)。Induced hypothermia for infants with hypoxic-ischemic encephalopathy using a servo-controlled fan: An exploratory pilot study。Pediatrics,123(6),1090-1098。  new window
4.Horn, A. R.、Harrison, M.、CLinley, L. L(2010)。Evaluating a simple method of neuroprotective hypothermia for newborn infants。Journal of Tropical Pediatrics,56(3),172-177。  new window
5.Kearvell, H、Grant, J.(2010)。Getting connected: How nurses can support mother/infant attachment in the neonatal intensive。Australian Journal of Advanced Nursing,27(3),75-82。  new window
6.Laptook, A.、Tyson, J.、Shankaran, S、McDonald, S.、Ehrenk ranz, R.、Fanaroff, A、Poole, W. K(2008)。Elevated temperature after hypoxic-ischemic encephalopathy: Risk factor for adverse outcomes。Pediatrics,,122(3),491-499。  new window
7.Lin, Z. L.、Yu, H. M.、Lin, J.、Chen, S. Q、Liang, Z. Q.(2006)。Mild hypothermia via selective head cooling as neuroprotective therapy in term neonates with perinatal asphyxia: An experience from a single neonatal intensive care unit。Journal of Perinatology,26(3),180-184。  new window
8.Long, M、Brandon, D. H(2007)。Induced hypothermia for neonatal with encephalopathy。Journal of Obstetrics, Gynecologic, & Neonatal Nursing,36(3),293-298。  new window
9.Niklasch, D. M.(2010)。Induced mild hypothermia and the prevention of neurological injury。Journal of Infusion Nursing,33(4),236-242。  new window
10.Selway, L. D.(2010)。Hypoxic ischemic encephalopathy and hypothermic intervention for neonates。Advances in Neonatal Care,10(2),60-66。  new window
11.Strohm, B. W.(2010)。Coolin for neonatal encephalopathy in 2010。Infant,6(4),123-127。  new window
12.Thayyil, S、Costello, A.、Shankaran, S、Robertson, N. J.(2009)。Therapeutic hypothermia for neonatal encephalopathy:Implications for neonatal units in India。Indian Pediatrics,46(4),283-289。  new window
13.Zanelli, S. A.、Naylor, M.、Dobbins, N、Quigg, M.、Goodkin,H. P、Matsumoto, J. A、Fairchild, K. D(2008)。Implementation of a ‘Hypothermia for HIE€™ program: 2-year experience in a single NICU。Journal of Perinatology,28(3),10-1038。  new window
14.Liu, C. H、Chao, Y. H.、Huang, C. M、Wei, F. C.(2010)。Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants。Journal of Clinical Nursing,19(11),1729-1737。  new window
15.吳承學、劉慧玲(20111200)。低溫治療於心跳停止復甦後病人之應用與照護。榮總護理,28(4),334-340。new window  延伸查詢new window
 
 
 
 
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