孕期噁心嘔吐之症狀經驗評估與護理處置

Symptom Assessment and Management of Pregnancy-Related Nausea and Vomiting

周汎澔(Fan-Hao Chou)

《護理雜誌》 60卷6期 (2013/12) Pp. 5-10

https://doi.org/10.6224/JN.60.6.5

摘要

孕期噁心嘔吐在懷孕早期有著高盛行率、沒有文化藩籬、整天都有可能發生的不適症狀，對懷孕婦女與胎兒有許多負面的影響；若未適時、合宜的評估及處置，可能威脅母嬰的健康，增加醫療的支出。本文彙整與剖析相關的資料，提出孕期噁心嘔吐之主觀及量化（例如噁心嘔吐及乾嘔量表）的症狀經驗評估與臨床處置雛型（例如輕、中度噁心嘔吐以非藥物處置為優先），提供臨床照護的具體參考，協助這些婦女順利渡過此不適時期，保有良好的生活品質及較好的懷孕生產結果。

關鍵字

孕期 ； 噁心嘔吐 ； 評估 ； 處置

並列摘要

Pregnancy-related nausea and vomiting are uncomfortable symptoms. These symptoms are consistent across cultures, may persist for extended periods of time during the early stage of pregnancy, and may adversely affect expectant mothers and their fetuses. Further, these symptoms may negatively impact mother and infant health and increase medical costs in the absence of effective diagnosis and symptom management. Relevant literature and research is integrated to propose subjective and objective approaches to assessing symptoms such as a index of nausea, vomiting and retching (INVR) and to develop a preliminary clinical management model that prioritizes using a non-pharmacological strategy to treat mild and moderate nausea and vomiting. Article recommendations provide a practical clinical care reference to help pregnant women successfully pass through this uncomfortable stage and achieve better quality-of-life and birth outcomes.

並列關鍵字

pregnancy ； nausea and vomiting ； assessment ； management

參考文獻

周汎澔（2011）．婦女健康之研究與知識建構：以孕期噁心 嘔吐為例．嘉基護理，11（1），9－ 14。[Chou, F. H. (2011). Research and knowledge development in women's health: Pregnancy-related nausea and vomiting as an example. Ditmanson Medical Foundation Chiayi Christian Hospital Journal of Nursing, 11(1), 9－ 14.]

周汎澔、陳彰惠（2001）．婦女孕期噁心嘔吐之內心感受與 護理需求．長庚護理，12（4），261－ 270。[Chou, F. H., & Chen, C. H. (2001). The perception and nursing care needs for women with nausea and vomiting during pregnancy. Chang Gung Nursing, 12(4), 261－ 270.]

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