一位初產婦產後逢母喪之照護經驗

本文為一位初產婦產後逢母喪之照護經驗。護理期間自2017年8月26日至9月24日，筆者藉傾聽、觀察、會談、身體評估進行生理、心理、社會及靈性層面之資料收集，歸納健康問題為哀傷、無效性母乳哺餵與親職角色功能障礙。透過鼓勵抒發情緒，藉宗教力量尋得心靈慰藉來調適哀傷；同理哺乳感受及教導哺餵技巧，使其能舒適哺乳；且同理哀傷影響個案學習照護嬰兒的進度，依其狀況修訂指導計劃，灌輸育兒知能，引導循序漸進照顧嬰兒，並鼓勵家人共同參與照護，改善母職角色扮演的障礙。護理師應瞭解喪親對個案的影響，建議未來有相關教育訓練，協助護理師提昇對不同宗教、習俗等文化敏感度，且認識不同宗教對死亡哀傷的復原輔導。

關鍵字

喪母；初產婦；產後

並列摘要

This article described about a nursing care experience of a primipara who lost her mother after childbirth. Through observation, interview, and physical assessment to collect data from physiologic, psychologic, social, and spiritual aspect between August 26, 2017 and September 24, 2017; and identified the following nursing issues: grief, ineffective breastfeeding, and impaired parenting. We encouraged her to express emotion and through religion to release grief. We also empathized the breastfeeding experience and advised accurate breastfeeding skills to make her breastfeeding more comfortable. Due to the grief impacting schedule of the baby-care learning, we revised the mentoring program according to her status, implanted knowledge of baby care to guide her to take care of baby gradually, and encouraged family members to participate in baby care to overcome the obstacle of performing parental role. Nursing staff must understand the impact of losing a loved one on postpartum women. It is recommended that to provide the relevant education and training to help the nursing staff to enhance their cultural sensitivity on different religions and customs; and recognize the grief counseling on death among different religions.

並列關鍵字

lost mother ； primipara ； postpartum

參考文獻

吳麗珍、周傳姜、林妍君 (2016)‧哀傷理論於喪親家屬之護理應用‧ 護理雜誌，64 (6)，98-105。[Wu, L. J., Chou, C. C., & Lin, Y.C. (2016). The application of grief theories to bereaved family members. The Journal of Nursing, 64(6), 98-105.] https://doi.org/10.6224/JN.000088

林祝君、王淑芳、黃于華 (2011)‧哺乳對母親角色形塑—自我平衡理論‧ 助產雜誌，53，50-60。[Lin, Z. C., Wang, S. F., & Huang, Y. H. (2011). Self-balancing on motherhood's see-saw: Being a mother through breastfeeding. The Journal of Midwifery, 53, 50-60.] https://doi.org/10.6518/tjom.2011.53.7

翁敏雪、周弘傑 (2016)‧ 父母於早產兒住院期間的親職議題及護理 ‧護理雜誌，63(6)，114-119。[Wang, M. H. & Chou, H. C. (2016). Parenting and nursing issues faced by parents during the hospitalization of their preterm infants. The Journal of Nursing, 63(6), 114-119.] https://doi.org/10.6224/JN.63.6.114

陳雅萍 (2014)‧ 照顧一位安胎失敗之產婦面臨周產期失落哀傷歷程之護理經驗 ‧長庚護理，25(2)，204-212。[Cheng, P. Y. (2014). The nursing experience of caring for a female patient undergoing perinatal loss grief journey after tocolysis failure. Chang Gung Nursing, 25(2), 204-212.] https://doi.org/10.3966/102673012014062502008

劉瑩娟 (2017)‧協助一位初產婦成功親餵的護理經驗‧ 彰化護理，24(2)，36-47。[Tseng, I. C. (2017). A nursing experience of assisting a primipara to successfully initiating breastfeeding. Changhua Nursing, 24(2), 36-47.] https://doi.org/10.6647/CN.24.02.10

國際替代計量

一位初產婦產後逢母喪之照護經驗

全文下載

主題瀏覽