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  • 期刊

一位早期子宮收縮孕婦面臨安胎失敗的護理經驗

Nursing Experience of Taking Care a Hospitalized Pregnant Woman with Failure Tocolysis

摘要


住院安胎孕婦承受許多不安及身心壓力,一旦安胎失敗更將經歷極大的哀傷,威脅母性角色的扮演。本文旨在描述一位曾流產二次的初產婦,於懷孕20週,因子宮早期收縮住院安胎,仍不幸安胎失敗的護理經驗。筆者於2013年8月14日至8月19日照護期間,經由Gordon十一項健康功能型態評估確立健康問題包括:一、焦慮/與早產徵兆不確定及安胎結果不確定有關;二、舒適型態改變/與安胎醫療處置引起母體不適有關;三、預期性哀傷/與即將失去期望中的胎兒有關,照護期間藉由主動發現需求,肯定及認同孕婦的付出,並提供以家庭為中心的護理、逝嬰紀念物與出院關懷追蹤,使得孕婦能堅強走出失去胎兒的傷痛。

關鍵字

安胎 早產

並列摘要


Hospitalized pregnant woman experiences overwhelmed physical and psychological stress. Once tocolysis is failed, most of patients experienced extreme loss that may emotionally threaten her maternal role. The purpose of this article describes a pregnant woman, who had experienced miscarriages twice, is now facing the fact of tocolysis failure at the gestational age of 20 weeks. The nursing period care was from August 14th to 19th, 2013. The nursing process was based on Gordon's 11-item functional health assessment of health problems. The woman's health problems were identified as the following: anxiety/uncertainty about tocolysis; impaired comfort /medical treatment and anticipatory; grief/losing expectant fetus during the nursing care process. During the nursing period, the author explored patient's needs actively, gave recognition and support for the pregnant woman, provided family-centered care, memory of losing expectant fetus and discharge care services. The woman finally could cope with the grief of fetus loss.

並列關鍵字

tocolysis preterm labor

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