- 期刊
一位紅斑性狼瘡初孕婦住院安胎之護理經驗
Nursing Experience of a Hospitalized Primiparous Woman with Systemic Lupus Erythematosus
摘要
本報告目的在探討一位罹患紅斑性狼瘡初次懷孕的婦女，在住院安胎期間的壓力源與因應行為。在觀察與會談後所得資料以行為過程記錄呈現，並於有系統的整理分析後，發現個案在住院安胎期間的壓力源，可分為生理性、心理性、及社會性三方面。在生理性的壓力源方面，有因疾病引起的不適及因藥物引起的不適；在心理性壓力源方面，有擔心胎兒早產及其健康問題、害怕胎兒及自己死亡、與擔心新生兒受到疾病遺傳；在社會性壓力源方面，有經濟問題及擔心家人不能接受新生兒。其因應行為則包括：尋求協助、尋求訊息、遵從行為、獻出自己的行為、及尋找控制。護理人員可提供疾病相關的護理指導、提供正確的訊息與母子安全之再保證、接受個案的感受、適時的陪伴等護理措施，以協助個案調適。此報告之結果能增進護理人員對此類病人的了解，更進而能發揮護理功能，協助病患順利渡過懷孕及生產階段。
並列摘要
This paper describes the stressors and coping behaviors of a primiparous woman with Systemic Lupus Erythematosus (SLE) who was hospitalized for tocolytic treatment. Data were collected by means of observing and interviewing and were recorded as process recordings. After systematic analysis, the results showed that stressors experienced by the hospitalized woman with tocolytic treatment could be categorized into physical, mental, and social strssors. Physical stressors included discomforts induced by disease and medical treatments. Mental stressors included worrying about preterm labor and premature infant's health problems, fearing the death of the fetus and the mother herself, and the hereditary of the disease (SLE) to the child. Social stressors were financial problems and worries of the infant not accepted by the family. Coping behaviors of the client included seeking for help, seeking for information, obeying, giving away herself, and seeking for control. Nurses can help the client to cope with the situation by providing information of the disease and the treatment, reassuring the safety of the mother and the fetus, accepting the feeling of the client, and accompanying the client. The results can enhance nurses' understanding of similar patients' situation that helps nurses to fully display nursing roles and helps patients to pass through the pregnancy and labor successfully.