護理一位九個月大感染沙門氏桿菌的視覺障礙嬰兒之經驗

The Nursing Experience of Taking Care a Nine-Month-Old Infant with Visual Impairment and Salmonella Infection

辛怡君(I-Chun Hsin) ； 金繼春(Chi-Chun Chin)

《志為護理-慈濟護理雜誌》 13卷6期 (2014/12) Pp. 94-103

摘要

本篇個案報告是描述照顧一位早產導致視覺障礙、發展遲緩又感染沙門氏桿菌腸炎之九個月大嬰兒的經驗，筆者自2012年10月08日至10月15日照護個案，且於出院後持續追蹤，並陪同其復健治療至11月10日。藉由觀察、會談、身體評估及查閱病歷等方式對個案生理、心理、社會及靈性等層面作整體性評估，歸納照護期間個案有三個主要的健康問題：腹瀉／與沙門式桿菌感染所引起的腸胃道炎症反應有關；生長及發育遲緩／與視覺障礙導致有關；親職角色衝突／與有特殊需要家庭有關。在照護過程中，筆者運用以家庭為中心的概念及同理心、溝通、接納及關懷等技巧，與個案及其家屬建立良好的治療性人際關係，提供相關資訊及社會資源，協助父母參與個案的治療計劃，強化親子依附關係，使得個案返家後其父母能有信心，且能獨立照顧個案。藉由分享護理經驗，筆者期望能協助護理人員照顧類似的個案。

關鍵字

視覺障礙 ； 早產嬰兒 ； 發展遲緩

並列摘要

This case report described the nursing experience of caring a nine-month-old female infant with Salmonella enteritis. She also suffered from developmental delay and visual impairment due to prematurity. The author provided direct care between October 8th and 15th 2012, and accompanied her in the process of rehabilitation after discharge until November 10th. A holistic assessment was done through observation, interview, physical assessment, and review of medical records, including physical, psychological, social and spiritual dimensions. Three major health problems were identified, including diarrhea/Salmonella gastroenteritis, growth and developmental delay and visual impairment, parenting role conflict and unmet special needs of family. By adopting family-centered approach and the skills of empathy, communication, acceptance and caring during the nursing period, the author had established a good therapeutic relationship with the case and his parents, provided relevant information and social resources, and had helped parents participate in the treatment programs and strengthen parent-child attachment relationship. The parents' confidence was boostered and they could take care of the baby independently at home. We share the nursing experience with the wish to help those who also take care of similar cases.

並列關鍵字

developmental delayed ； premature babies ； visual impairment