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運用人性化關懷理論於一位孕期感染水痘婦女住院隔離之照護經驗

Applying Watson's Human Caring Theory to Hospital Isolation Care for a Pregnant Woman with Varicella During Pregnancy

摘要


本文描述一位懷孕三十五週之感染水痘孕婦,面臨疾病隔離、擔心胎兒健康與家庭照護人力不足等生理、心理及社會衝擊之照護經驗。護理期間為2020/7/14~7/23,藉由溝通、會談、觀察、病歷查閱及身體評估等方式收集資料,進行生理、心理、社會及靈性整體性評估,並歸納出個案有皮膚完整性受損、焦慮及家庭運作過程改變之健康問題。在照護過程中,筆者運用Watson人性化關懷理論十項照護因素於護理措施之中,使用藥物及非藥物之方式滿足生理需求及身體舒適,藉由傾聽、陪伴、同理等技巧,以關懷、真誠的態度建立良好信任關係,協助家庭角色與功能的調整,促進家庭解決問題的能力,實現以病人家庭為中心的照護目標。期望藉此護理經驗分享,作為照護此類病人的參考。

並列摘要


The caregiving experience for a pregnant varicella patient at 35 weeks' gestation is described in this essay. The patient had physical, psychological, and social impacts like isolation, worries about the health of the unborn, and a lack of family caregivers. The care was provided between July 14 and July 23, 2020. Communication, interviews, observation, a study of the medical records, and physical examination were used to gather the data. Following a comprehensive review of the family's physical, psychological, social, and spiritual well-being, the main health issues found were skin integrity issues, anxiety, and altered living conditions for the family. The author used the 10 caring factors of Watson's human caring theory in the care process, including the use of pharmaceutical and non-pharmacological methods to meet physical needs and body comfort, and the development of a good trusting relationship through listening, company, empathy, and other skills with a caring and sincere attitude. We also assisted the case family in redefining their roles and responsibilities in order to create an interactive caregiving environment that fosters family problem-solving abilities and upholds healthy family functioning in order to realize the objective of family-centered care. The author wants to use this nursing experience as a guide for the treatment of individuals with comparable ailments.

參考文獻


陳曉琦、周汎澔(2010).Watson人性化關懷照護理論與Swanson關懷照護理論之比較.護理雜誌,57(3),86-92。https://doi.org/10.6224/JN.57.3.86
Ahlberg, M., Hollman Frisman, G., Berterö, C., & Ågren, S. (2020). Family Health Conversations create awareness of family functioning. Nursing in Critical Care, 25(2), 102-108. https://doi.org/10.1111/nicc.12454
American College of Obstetricians and Gynecologists. (2015). Practice bulletin no. 151: Cytomegalovirus, parvovirus B19, varicella zoster, and toxoplasmosis in pregnancy. Obstetrics and Gynecology, 125(6), 1510-1525. https://doi.org/10.1097/01.AOG.0000466430.19823.53
Coglianese, F., Beltrame Vriz, G., Soriani, N., Piras, G. N., Comoretto, R. I., Clemente, L., Fasan, J., Cristiano, L., Schiavinato, V., Adamo, V., Marchesoni, D., & Gregori, D. (2020). Effect of online health information seeking on anxiety in hospitalized pregnant women: Cohort study. JMIR Medical Informatics, 8(5), Article e16793. https://doi.org/10.2196/16793
Duko, B., Gebeyehu, A., & Ayano, G. (2015). Prevalence and correlates of depression and anxiety among patients with tuberculosis at WolaitaSodo University Hospital and Sodo Health Center, WolaitaSodo, South Ethiopia, Cross sectional study. BMC Psychiatry, 15, 214. https://doi.org/10.1186/s12888-015-0598-3

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