協助初產婦照護早產兒並建立親子依附關係之護理經驗

本篇是協助初產婦照護早產見並建立親子依附關係之護理經驗。筆者自2013年8月2日至8月25日，應用觀察及訪談與傾聽技巧方式收集資料，運用羅氏適應模式評估，分析之後發現個案主要的健康問題有：1.潛在危險性父母－嬰見依附關係改變／案子住院使與父母親的互動受限。2.低效性母乳哺餵／缺乏母乳哺餵相關知識。3.知識缺乏／缺乏育嬰相關知識。照顧期間依照個案的各項健康問題，藉由依附關係的發展，增加母親與早產見間的親子關係。經由筆者的協助增加母親的知識及按能，進而降低壓力，增加信心與強化親子關係的建立，希望此成功經驗可提供目後護理人員臨床照護之參考。

關鍵字

袋兒式護理；早產兒；低效性母乳哺餵

並列摘要

This article reports the process of assisting a primiparous mother in developing attachment to her premature newborn infant. The nursing period was from August 2 to August 23, 2013. The author collected data through observation, interview and listening. The author's assessment was based on Roy's Adaptation Model. Three major healthcare problems that were identified were potential risk of a weak parent-infant attachment relationship due to limited interaction, ineffective breastfeeding because of lack of breastfeeding skills, and insufficient knowledge of proper baby raising. Based on the case's healthcare needs, customized nursing interventions included providing information regarding increasing parent-child attachment in the relationship between the mother and the premature newborn infant. With the author's assistance, the case acquired breastfeeding skills and reinforced her knowledge about baby raising; furthermore, she lowered her stress, enhanced her confidence, and strengthened the establishment of a parent-child relationship. The author hopes that this nursing experience can serve as a reference for other clinical nurses who encounter similar cases in the future.