運用羅氏理論協助外籍母親照顧早產兒並建立親子依附關係之護理經驗

The Nursing Experience Applying Roy's Adaption Theory in Helping a Foreign National Care for Her Premature Infant

邱曉彤(Hsiao-Tung Chin) ； 曾月霞(Yueh-Hsia Tseng) ； 黃淑媛(Shu-Yuan Huang) ； 盧瑛琪(Ying-Chi Lu)

《中山醫學雜誌》 21卷2期 (2010/06) Pp. 209-221

https://doi.org/10.30096/CSMJ.201006.0008

摘要

本文旨在呈現協助一位越南籍的年輕初產婦照顧早產兒並建立親子依附關係之護理經驗。筆者於2006年10月15日至2006年11月10日的護理期間，透過多次的觀察及訪談收集資料，並運用羅氏適應模式為評估工具。發現外籍母親因文化、觀念、語言、生活習慣上的不同，導致無法與嬰兒有效的接觸，且缺乏幼兒照顧經驗及尋求資源之能力。確定個案三個主要健康問題為（一）、親子依附關係；（二）、健康尋求行為；（三）、早產兒育嬰知識。筆者依據個案的各項健康問題，適時地提供解決之道，並扮演支持者、教育者、諮詢者、協調者的角色，鼓勵參與早產兒袋鼠式護理，協助外籍母親與其早產兒建立親子關係。筆者冀希藉此成功的護理經驗，給予相關個案更多的協助與幫助，使其可發展正向的親子依附關係。

關鍵字

外籍母親 ； 早產兒 ； 親子依附關係

並列摘要

This article describes a nursing experience helping a young Vietnamese primipara woman develop attachment to her premature infant. From October 15 to November 10 in 2006, we gathered data repeatedly by observations and interviews. We then used Roy's model to evaluate her needs. She was not found to have the resources needed to related to her baby and did not have enough experience or ability to take care of a newborn or seek assistance. Access to assistance has limited greatly by her being a foreign national with not only language barriers but also differences in cultural norms and concepts. She had three major health problems: attachment to infant, health-seeking behavior, and knowledge of how to nourish a premature infant. Nurses played various roles, including supporter, adviser, counselor and coordinator in solving her problems depending on time and need. Nurses also encouraged her to use the Kangaroo technique for premature infants and coached her on how to establish a good mother-infant attachment. This successful experience can serve as a good example for nurses who need to provide assistance to similar cases.

並列關鍵字

Foreign Nationality ； Premature ； Mother-infant relationship