新生兒安寧緩和療護之推展

Promoting Palliative Care in Neonatal Nursing

鄭雅慧(Ya-Hui Cheng) ； 方寶秋(Bao-Chios Fang) ； 沈青青(Ching-Ching Sheng)

《源遠護理》 6卷2期 (2012/11) Pp. 10-14

https://doi.org/10.6530/YYN.2012.6(2).02

摘要

本文旨在闡述臨床新生兒安寧緩和療護。每個新生命都是父母親共同孕育的愛，孩子的「出生」帶給家庭希望、喜樂和感恩；但當新生兒因故無法順利平安生存時，父母被迫面對「新生兒死亡」，將是一大震撼、極大的失落與悲傷。新生兒安寧緩和療護是整體且全面性的，對象不只有新生兒，需同時涵蓋其家庭成員。尤其是預期將失去新生兒，仍要增進親子依附關係，提供獨立且隱私的環境，讓父母及其他家庭成員與新生兒獨處。在照護臨終的新生兒時，盡量維持新生兒好看的樣貌。還可協助製作回憶盒，放置屬於新生兒曾經使用過的物品，作為日後，當父母想念小孩時之憑藉。藉由文獻查證發現台灣的本土文化視「死亡」為禁忌話題，更何況對象是新生兒，因此協助這些父母親走過喪慟、處理失落及悲傷情緒的心理輔導常被忽略，需透過有意義重建機制幫助失去新生兒的父母找回自尊與自信。有感於安寧療護不止於服務過世病嬰，未來對於病重病嬰及其父母之身、心、靈也皆須照顧，僅此藉以提供臨床工作者參考。

關鍵字

新生兒 ； 死亡 ； 安寧療護

並列摘要

This article provides a clinical reference for neonatal hospice and palliative care to provide comfort and spiritual hospice care to the babies and their parents, and to assist those parents who experience perinatal loss a meaningful mechanism to rebuild self-esteem and confidence. Literature review shows that it is common to avoid the discussion of ”death” in Taiwanese culture, especially in the death of a newborn. Therefore, grief counseling and dealing with emotional loss is often missed. The birth of a newborn brings a family hope, joy and gratitude. It is devastating when parents are forced to confront death of their newborn. Neonatal hospice and palliative care provides comprehensive support to both the baby and their family members. When the loss of a newborn is imminent, it is essential to provide opportunity, space and privacy for parents/family and baby bonding. Maintaining the dying baby's appearance is important. Assist parents to create a ”memory box” that contains items related to the baby to provide comfort for the family.

並列關鍵字

newborn ； death ； hospice and palliative care