- 期刊
一位先天性心臟病幼童餵食困難的護理經驗
Nursing Experience of Feeding Difficulty in a Toddler with Congenital Heart Disease (CHD)
摘要
營養攝取不足所導致的生長遲緩是先天性心臟病幼童最常見的問題之一，也是讓父母最擔心的一環，且常在面臨孩子攝取不足或有餵食困難的問題時，備感壓力與無助。本文呈現出一位先天性心臟病幼童餵食困難的護理經驗，文中首先針對先天性心臟病幼童的潛在性生長遲滯、營養需求及餵食困難等方面做文獻的探討，並於臨床照顧中藉由身體檢查、會談、觀察、整理病史與醫療團隊人員討論的評估方式，發現個案及其家庭，有營養少於身體需要、照顧者角色緊張等護理問題，本文將採護理指導、心理支持及相關的社會資源等護理措施，並鼓勵家屬參與護理計畫，達到以家庭為中心的護理過程，希望藉此經驗分享能作為兒科護理人員在臨床照顧時的參考依據。
並列摘要
Failure to thrive caused by malnutrition is one of the most common problems for children with congenital heart disease (CHD). In this process, their parents feel stressful and helpless. This paper describes the nursing experience of feeding difficulty in a toddler with CHD. Data were collected by physical assessment, interview, observation, history taking, and communicating with healthcare team members. After a holistic assessment, we found that this case had 2 nursing problems: 1) nutrition taking less than whose physical need and 2) caregiver role strain. The nursing intervention was provided to assist this case and his family to deal with these problems. This paper could be a reference to care for children with CHD.
延伸閱讀
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