運用Watson關懷照護理論於一位未婚懷孕終止妊娠青少女之護理經驗

A Nurse's Experience Applying Watson Caring Theory in an Adolescent Pregnancy Receiving Termination

邱于珊(Yu-Shan Chiu) ； 林玉華(Yu-Hua Lin) ； 劉春卿(Chun-Qing Liu)

《高雄護理雜誌》 33卷2期 (2016/08) Pp. 82-92

https://doi.org/10.6692/KJN-2016-33-2-8

摘要

本文是描述一位懷孕20週未婚青少女入院終止妊娠之護理過程。護理期間為2013年10月20日至2013年10月23日。採直接照護、觀察、會談及出院後電訪追蹤收集資料；結果發現個案有焦慮、急性疼痛、預期性哀傷及特定知識缺失等四項護理健康問題。筆者依Watson關懷照護理論，與個案建立良好的醫病信任關係，利用護理專業協助在引產過程中，緩解個案待產時子宮收縮導致之疼痛，並陪伴及協助個案、家屬表達哀傷及罪惡感，堅強面對胎兒的死亡。同時協助個案肯定自我，搜尋相關可利用的資源，提供個案正確的避孕知識。冀望藉由本個案照護經驗能作為照護類似此類個案之參考。

關鍵字

Watson關懷照護理論 ； 青少女懷孕 ； 終止妊娠

並列摘要

This article is about the application of Watson's caring theory for a pregnant adolescent receiving termination. The period of care spanned from October 20 to October 23, 2013. The author collected subjective and objective data through direct care, observations, and interviews with the patient and follow-up (care) after discharge. Data was analyzed to identify key healthcare problems, which included anxiety, acute pain, anticipatory grief, and lack of specific knowledge. We used Watson's caring theory to build up mutual reliance with the patient, and applied professional nursing assistance in the process to reduce labor pain, to help the patient and her family express their grief and guilt feelings, and to allow them be able to face the fetal death. Moreover, we also helped the patient seek valuable resources to increase self-efficacy and knowledge of proper contraception. We look forward to sharing this nursing experience as a reference resource in taking care of such patients.

並列關鍵字

Watson's caring theory ； Adolescent pregnancy ； Termination of pregnancy