- 期刊
協助一位母親面對抽搐新生兒建立親子依附關係之加護經驗
Nursing Experience of Helping a Mother Establish Parent-child Attachment Relationship in the Face of Newborn Seizure
摘要
背景：本文探討一位母親面對抽搐的新生兒並建立親子依附關係之加護經驗。目的：藉由照護過程協助案母盡早熟悉新生兒抽搐的照護，進而提供適切的護理措施以及促進親子關係的建立。方法：2019/02/26至2019/03/16照護期間，運用系統性身體評估、觀察訪談及紀錄個案疾病進展，再五大評估與家庭評估，完成相關資料的收集。結果：確定個案主要健康問題：（一）抽搐不自主活動／先天性缺陷引起抽搐有關；（二）失落／案母對個案生命威脅感到無法接受、預期親子關係建立受阻有關；（三）照顧者角色緊張／與案母缺乏自信、照護認知技巧經驗不足、社會家庭支持力薄弱有關。結論：照護過程中案母對於生下無法治癒的缺陷兒有無限的挫折及哀傷，認為生命充滿著痛苦，不忍讓孩子受苦而做出生死的抉擇，其案母的哀傷、失落情緒，提供個別性護理措施，採接納、尊重、傾聽、陪伴及討論有助於緩解；當個案面臨可出院情況下案母需重建母子依附關係，學習如何照顧、了解其特殊需求及發展以得到最大的助益，使其母親的角色更勝任增加其自信心，並透過資源連結的整合，期待幫助特殊需求的個案能發揮最大的照護能力，以減少案母之親職壓力，強化其生活品質及照護，並期待此護理經驗能提供臨床相關護理人員照護此類型個案之參考。
並列摘要
Background: This article explores the nursing experience of a mother who faced a newborn with seizure and then established a parent-child attachment relationship. Objective: By assisting the case mother through the care process, she became familiar with the care of the newborn with seizure as early as possible, thus providing appropriate care and promoting the establishment of parent-child relationships. Methods: During the nursing period from February 26, 2019 to March 16, 2019, systematic physical assessment, observational interviews and documentation of disease progress in individual cases were used, and five major assessments and family assessments were conducted to complete the collection of relevant information. Results: The main health problems of the case were identified as (1) Seizure: involuntary activity/seizure caused by congenital defects; (2) Loss: the case mother felt the life threat of the case was unacceptable and the expected parent-child relationship was blocked; (3) Caregiver Role Strain: related to the lack of self-confidence of the mother, lack of cognitive skills about nursing and weak social and family support. Conclusion: During the nursing process, the mother expressed infinite frustration and sorrow for the child with incurable defects. She believed that life was full of pain and she could not bear the suffering of the child and made a choice of life or death. Her grief and disappointment required provision of individual nursing care. Measures to adopt, accept, respect, listen, accompany and discuss all helped ease this pain. When the mother faced the situation of being discharged from hospital, she needed to rebuild the mother-child attachment relationship, learn how to take care of the child, understand their special needs and development in order to get the most benefit while becoming more competent and increasing her self-confidence. Through the integration of resource links, the author looks forward to assisting further cases with special needs to maximize their care ability so as to reduce the parental pressure of the case mother while strengthening their quality of life and care. It is hoped that this nursing experience could provide clinically relevant nursing staff with a reference for caring for this type of case.
參考文獻
延伸閱讀
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