鴉片類新生兒戒斷症候群的照護

Nursing Care for Neonatal Opiate Withdrawal Syndrome

陳揚瑜(Yang-Yu Chen) ； 呂明蕙(Ming-Huei Lu)

《馬偕護理雜誌》 2卷1期 (2008/01) Pp. 7-15

https://doi.org/10.29415/JMKN.200801_2(1).0001

摘要

鴉片類藥物是台灣目前最常被藥物濫用的種類，近年來育齡婦女藥物濫用比例逐年增加，使更多新生兒在產前即暴露於不合法之藥物，導致新生兒戒斷症候群的病例逐年上升。母親多半不承認自己吸毒，而是因新生兒有躁動不安、發出高音調的哭聲，或發現母親身上有多處針孔再被護理人員懷疑。本文主要介紹懷孕母親鴉片類藥物濫用對新生兒的影響及新生兒藥物戒斷症候群的診斷、症狀、藥物治療及照護原則，期使護理人員能有足夠的認知提供合宜的護理措施，支持新生兒並提昇父母親照顧技巧，以增進新生兒的健康。

關鍵字

新生兒 ； 新生兒戒斷症候群

並列摘要

Opiates are currently the most common drug of abuse in Taiwan. In recent years, the percentage of childbearing age women who abuse drugs has been increasing, exposing more and more fetuses to the drugs in utero. Babies born to mothers who use opiates during pregnancy will likely have neonatal abstinence syndrome. In most cases, the mothers deny using drugs, so it is the neonate's symptoms, including restlessness and high-pitch crying, or the discovery of needle tracks in the mother that lead nurses to suspect drug abuse. This paper assesses the impact on the newborn of maternal opiate abuse during pregnancy and reviews the symptoms, diagnosis, treatment, and nursing care principles for the neonatal abstinence syndrome. Nurses should be equipped with sufficient knowledge and skills to manage such infants appropriately and to help parents develop the necessary childcare skills to care for these children.

並列關鍵字

neonatal ； neonatal abstinence syndrome