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運用母嬰親善技巧護理一位產婦持續母乳哺餵之經驗

Nursing Experience about Application of Baby Friendly Skill for Caring a Postpartum Woman with Continuous Breastfeeding

摘要


本文敘述一位39歲高齡產婦,相隔13年再度生產,產後因奶水不足,加上新生兒出生後第7天吸入性肺炎需住院治療,因此無法再親自哺乳,而求助於護理人員之護理經驗。護理期間自96年9月至97年5月,筆者從個案產檢開始接觸,運用母嬰親善各相關技巧,向個案衛教產後哺乳計劃。產後藉由身體評估、會談、家訪、電訪進行資料收集,並以Gordon十一項功能健康型態評估,發現個案的問題有:1.低效性母乳哺餵;2.母乳哺餵中斷;3.焦慮。筆者藉由護理指導,讓個案了解母乳哺餵的重要性,及正確母乳哺餵姿勢、哺乳期間的飲食、儲存母乳的方法等相關護理。讓寶寶在住院期間仍有母乳食用,而出院後個案也能持續親自哺餵,使其問題得以改善。期望透過此篇文章的介紹,與同仁分享照護的經驗。

並列摘要


This article described a nursing experience about a 39 years old woman with pregnancy 13 years later after her last delivery, who can not breast-feeding by herself and call for nurse's help. The duration of nursing care was from September, 2007 to May, 2008. The researcher was in touch with this patient since prenatal examination, and the baby friendly skill was used to educate the patient about the postpartum program. The methods of data collection included physical assessment, face-to-face interview, family interview, and telephone interview. Based on Gordon’s functional health assessment, the patient's health problems included inactive breast-feeding, feeding broken, and anxiety. Though the nursing guideline, the researcher let the patient know the important of breast-feeding, the correct posture of breast-feeding, the diet during breast-feeding, and the method of breast milk storage. The problem had improved due to the baby could get breast milk in hospitalization and the patient could breast-feed by herself after leaving hospital. This case report was expected to share the nursing experience to clinical nursing staff for the related status.

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