- 期刊
一位妊娠合併死胎之高齡婦女接受引產的護理經驗
Nursing Experience of Caring for an Advanced-Aged Woman Induced Labor for Intrauterine Fetal Death
摘要
本文探討一位妊娠31^(+3)週之高齡孕婦，經超音波檢查發現腹中胎兒已死亡，由震驚到入院引產之護理過程。在2019年7月14日至7月16日照護期間經由直接護理、查詢病歷、會談、身體評估、觀察及傾聽等方式收集資料，並運用羅式適應模式進行評估，確認個案有一、焦慮／不知何時將胎兒娩出；二、急性疼痛／子宮收縮引起；三、哀傷／與無法接受失去胎兒有關；四、罪惡感／面對案夫感到愧疚等四個健康問題，在照護過程中給予引產過程的說明降低其焦慮感；運用生產支持法，提供放鬆技巧，以減輕生產疼痛；並以真誠關懷、同理心及相關護理措施下，協助個案及案夫表達心中哀傷及相互支持，正向面對失去胎兒的事實，並走出哀傷的情緒。希冀藉此護理經驗，提供同仁照護參考，在面對此類孕婦，能給予個別性、整體性的護理，順利協助個案及家庭渡過哀傷，並恢復家庭功能運作。
並列摘要
This Article described the nursing experiences of caring a advanced-aged pregnant woman at 31^(+3) weeks with unexpected stillbirth. Using Roy's adaptation model, we evaluated the woman and her husband from 14th to 16th of July in 2019. In the labor room, we found that the pregnant woman was suffering from several nursing problems including anxiety/unknown to her induced labor; acute pain/uterine contraction; anticipatory grief/related to the unacceptable loss of a fetus; guilt/feeling ashamed in front of her husband. Through our nursing process, the couple expressed feeling of sadness and supported each other, and accepted the emotions about losing the fetus. The report of the experience in caring for the case can be used as a reference for other nursing professionals when caring for patients with IUFD.