照護一位新移民女性妊娠後期併發急性妊娠脂肪肝之加護經驗

Caring for a Woman with Acute Fatty Liver of Pregnancy during the Third Trimester of Pregnancy

李紋帝(Wen-Di Li) ； 陳莉貞(Li-Chen Chen) ； 呂佩珍(Pei-Chien Lu)

《長庚護理》 31卷1期 (2020/03) Pp. 112-122

https://doi.org/10.6386/CGN.202003_31(1).0010

摘要

此文旨在探討一位越南籍女性妊娠後期併發急性妊娠脂肪肝之照護經驗，個案因妊娠後期併發急性妊娠脂肪肝接受緊急剖腹產取出腹中胎兒，術後引發肝功能障礙、凝血功能障礙及嚴重低血糖，作者依Gordon十一項健康功能型態進行整體評估，確認健康問題為營養不足、潛在性危險損傷、及因為疾病認知不足小孩早產而產生焦慮情形。

關鍵字

新移民 ； 越南籍 ； 急性妊娠脂肪肝

並列摘要

This case study reported the nursing experience of assisting a Vietnamese woman with acute fatty liver of pregnancy (AFLP) in the third-stage pregnancy. During care of this patient from October 11, 2016 to October 18, 2005, Gordon's theory was used to assess and identify nursing problems and set goals and care plans. This case received an emergency caesarean section to remove the fetus. After the operation, she suffered from AFLP complications, such as liver dysfunction, coagulation dysfunction, and severe hypoglycemia. During the care, the patient was found to be suffering from nutritional deficiencies, fear of suffering from AFLP disease, and anxiety due to lack of knowledge to take care of her preterm baby.

並列關鍵字

immigrant ； vietnamese ； AFLP

參考文獻

白玉珠、陳美娟、鄒茵茵、葉純宜、童惠芳、劉慧玲、柯秀錦 (2014)．建立使用呼吸器重症病人之臨床營養護理指引．榮總護理雜誌，31(2)，114-157。[Pai, Y. C., Chen, M. C., Tsou, Y. Y., Yeh, C. Y., Tung, H. F., Liou, H. L., & Ko, H. C. (2014). Establishing clinical nutritional nursing guidelines for ventilated patients. VGH Nursing, 31(2), 114-157.] doi: 10.6142/VGHN.31.2.144

吳紅蓮、董莉莉、王明誠 (2018)．長期血液透析病人食慾評估與營養狀態的探討．台灣營養學會雜誌，42(3)，80-88。[Wu, H. L., Tung, L. L., & Wang, M. C. (2018). Investigation of the nutritional ntatus and appetite assessments in maintenance hemodialysis patients. Nutritional Sciences Journal, 42(3), 80-88.] doi:10.6691/NSJ.201809_42(3).0001

林利珍、陳慧如、黃品惟、林宗坤(2014)．運用以實證為基礎健康照護措施降低呼吸器相關肺炎發生率之探討．源遠護理雜誌，8 (2)，30-37。 [Lin, L. C., Chen, H. J., Lin, K. C., Huang, P. W., & Lin, T. K. (2014). Evidence-based care on the reduction of ventilator associated pneumonia. Yuan Yuan Nursing, 8(2), 30-37.] doi:10.6530/YYN.2014.8(2).06

鄭兆君(2015)．坐月子期間飲食與中藥材之應用．長庚科技學刊，(22) ，33-40。[Chuang, L. Y., Shu, B. C., & Huang, C. C. (2015). Application of diet and Chinese herbal medicine during postpartum “doing-the-month” ritual. Chang Gung Journal of Sciences, (22), 33-40.] doi: 10.6192/CGUST.2015.6.22.4

林珍瑋、王筱佩 (2016)．重症單位血液動力學監測 介紹．護理 雜誌，63(1)，117-124。[Lin, C. W., & Wang, S. P. (2016). Introduction of hemodynamic monitoring in critical care units. The Journal of Nursing, 63(1),117-124.] doi:10.6224/JN.62.6.117