- 期刊
運用家庭評估模式於一位戒斷症候群新生兒之護理經驗
A Nursing Experience of a Newborn with Neonatal Abstinence Syndrome by The Family Assessment Model
摘要
本文敘述一位母親施打海洛因，導致新生兒產生戒斷症候群之照護經驗。個案因戒斷症狀產生餵食困難、激躁性哭鬧、肢體震顫等現象，筆者照護期間於2018年10月9日至2018年11月7日，以直接照護、觀察、會談、及家庭功能評估PRACTICE（Christie, 1984）收集資料，歸納出個案有：一、營養不均衡：少於身體需要；二、混亂性嬰兒行為；三、危害性家庭因應能力等健康問題。運用口腔按摩及申請母乳庫之母乳，增加個案吸吮與吞嚥的協調，並改善其腸胃道症狀。提供發展性照護，配合其作息執行照護及減少外在環境刺激。運用家庭評估模式及個別性照護需求，訂定出院準備計畫，提供社會資源及發展家庭因應能力，並於個案出院後電訪追蹤居家照護，確保個案返家後能獲得良好照顧。
並列摘要
This article explores the case of a newborn with Neonatal Abstinence syndrome as its birth mother had been an injection drug (heroin) user. The patient had withdrawal symptoms such as difficulty in feeding, four-limb tremors, and irritable crying during hospitalization. The nursing period lasted from Oct. 9, 2018 to Nov. 7, 2018, during which information was collected via direct nursing, observations, interviewing and PRACTICE from the family assessment model (Christie, 1984). The following health issues were identified: imbalanced nutrition less than body requirements, disorganized infant behavior, and compromised family coping strategies. The author implemented oral cavity massage on the newborn to help develop better coordination of sucking and swallowing motion, and applied to the Breast Milk bank for a supply of breast milk to improve the infant's gastrointestinal symptoms. Developmental care was provided to decrease the negative environmental influence and a specific nursing process was set up for the newborn depending on awake or asleep patterns, while discharge planning based on family assessment model and individual nursing requirements was also performed; finally, the family was helped to get social resources and develop family coping capabilities. To ensure further proper care, the author maintained homecare tracking by follow-up calls after the patient was discharged.