- 期刊
照護一位呼吸窘迫症候群合併高風險感染早產兒之護理經驗
Nursing Experience of Caring for a Premature Infant With Respiratory Distress Syndrome and High Risk of Infection
摘要
本文描述一位預估妊娠週數29週早產兒，出生後因呼吸窘迫及母親確診COVID-19而入住負壓加護病房之加護護理經驗。照護期間自2022年5月25日至2022年5月31日，透過觀察、直接照護、身體評估及家屬電話訪談等方式收集資料，運用系統性身體評估架構及家庭評估，確立病嬰有呼吸功能障礙、高風險感染、親子依附關係改變之護理問題。病嬰於出生後生命徵象不穩定，經救護車送往醫學中心急診，案母同時COVID-19篩檢陽性，因此病嬰入住負壓加護病房進行隔離，住院後使用呼吸器、定時進行COVID-19 PCR採檢，並依據護理問題訂定目標與護理措施，同時給予案母傾聽及鼓勵、與進行視訊會客等建立親子依附關係，並邀請案母於解除隔離後至病室學習照護早產兒方式，以使病嬰返家後能獲得正確照顧。筆者亦建議在疫情仍持續之際，院方或相關單位可設立供家屬查看隔離病嬰照片及影音的專用雲端空間，使無法與病嬰接觸的家屬在母嬰分離的情況下能有所慰藉。
並列摘要
This article describes the intensive care experience of a premature infant with an estimated gestational age of 29 weeks, who was admitted to a negative-pressure intensive care unit due to respiratory distress following birth. The mother had been diagnosed with COVID-19. During the care period from May 25, 2022, to May 31, 2022, data were collected through observation, direct care, physical assessment, and telephone interviews with family members. A systematic physical assessment framework and family assessment were used to identify nursing problems related to respiratory dysfunction, high-risk infection, and altered parent-child attachment. Due to the instability of the patient's vital signs after birth, the patient was immediately transferred to the medical center's emergency department by ambulance. Because the mother tested positive for COVID-19, the patient was admitted to a negative-pressure intensive care unit for isolation. Upon admission, the patient was placed on a ventilator, and regular COVID-19 tests and PCR examinations were conducted. Based on the identified nursing problems, specific nursing goals and interventions were established. Simultaneously, the patient's mother received emotional support and was encouraged to maintain the parent-child bond through video meetings. After the isolation period, the mother was invited to the ward to learn how to care for her premature infant, ensuring that the patient receives appropriate care upon returning home. In conclusion, the author suggests that during ongoing pandemics, hospitals or relevant units should establish cloud spaces for family members to view photos and videos of infants in isolation, providing comfort to those unable to physically interact with their babies during periods of separation.