- 期刊
懷有先天性異常之胎兒婦女孕產護理經驗
A Nursing Care Experience of a Pregnant Woman with a Congenital Anomaly Fetus
摘要
隨著醫療科技的發達，產前胎兒高層次超音波檢查，可在產前篩檢出先天性發育異常胎兒，卻也迫使婦女在平靜的孕程中，需抉擇是否該繼續懷孕或終止妊娠。本篇探討一位懷孕23週的婦女，在產檢中藉由高層次超音波，篩檢診斷出胎兒罹患先天性單側肺部畸型，並於妊娠37週住院引產之護理經驗。筆者於98年8月18日至8月31日，於產婦待產期間的照護及生產時應用運用面談、觀察、傾聽、溝通等技巧，提供全程的陪伴，並依個案需求提供照護，並給予心理支持。產後進行多次探視及會談，發現其孕產婦之健康問題為：面對孕產的不確定、孕產婦的支持性環境與胎兒的連結。筆者在護理過程中提供以家庭為中心的照護，與個案建立良好的治療關係，幫助個案及家屬克服待產時的焦慮及不適，並鼓勵家屬共同參與產後新生兒照顧與個案的支持。希望從此個案經驗中，護理人員能提供個別性的護理措施，使孕產婦能夠得到更完善的照護。
並列摘要
This study explored the experience of a woman at her 37th week pregnancy who was hospitalized for induced labor and delivery. Her fetus was diagnosed by level II ultrasound with unilateral pulmonary abnormality at 23rd week pregnancy. The author provided care and spiritual support during a period of 23 days through interview, observation, listening and communication. Patient problems included uncertainty in pregnancy, supportive environment for pregnancy and connection with the fetus. The provision of family-centered care and therapeutic relationship helped the patient to overoame anxiety and discomfort during the period of waiting for delivery. Family members were encouraged to participate in the care of the newborn and to extend their support to the patient.
延伸閱讀
- 魏敏媛、張淑雲、古雪貞（2017）。一位早期子宮收縮孕婦面臨安胎失敗的護理經驗。馬偕護理雜誌，11(2)，60-70。https://doi.org/10.29415/JMKN.201707_11(2).0006
- 李麗玟、陳翠玲（2014）。照顧一位胎兒染色體異常死產產婦之護理經驗。彰化護理，21(2)，15-23。https://doi.org/10.6647/CN.21.02.04
- 謝郁芬、林玉蘭（2018）。一位因胎兒染色體異常行終止妊娠孕婦之生產照護經驗。助產雜誌，(60)，22-31。https://doi.org/10.6518/TJOM.201812_(60).0003
- 林心儀、戴秀珍、林素瑛、蔡麗紅（2016）。照護一位初產婦安胎失敗轉待產之護理經驗。長庚護理，27(3)，403-413。https://doi.org/10.3966/102673012016092703009
- 江淑華、胡慧林（2002）。Nursing Experience of a Burned Pregnant Patient。志為護理-慈濟護理雜誌，1(2)，88-95。https://doi.org/10.6974/TCNJ.200206.0088