照顧一位腹股溝疝氣新生兒手術後期之護理經驗

Nursing Experience of a Neonate after Inguinal Hernia Surgery

黃婉婷(Wan-Ting Huang) ； 余怡珍(I-Chen Yu)

《長庚科技學刊》 17期 (2012/12) Pp. 153-161

https://doi.org/10.6192/CGUST.2012.12.17.12

摘要

腹股溝疝氣是小兒常見的疾病之一，因男女生理結構不同，使得女童的症狀較男童不明顯，因此容易被忽略而延誤治療時間。本文探討一位新生兒因右側腹股溝疝氣，進行外科手術後之護理過程，筆者自97年2月21日至3月22日的照護過程中，經由觀察新生兒行為、身體評估、疼痛量表及與家屬會談等方式進行資料收集與評估，歸納出主要的護理問題有急性疼痛、潛在危險性感染及照顧者角色緊張。照護過程中，護理人員提供個別化的護理措施合併藥物及非藥物疼痛緩解技巧，嘗試減緩個案疼痛，並提供以家屬需求為導向之個別化術後照護衛教手冊，教導父母新生兒術後傷口及返家照護之注意事項，緩解家屬照顧新生兒的緊張情緒。過程中筆者深切體會到身體評估對於嬰幼兒的重要性，然而護理人員往往是站在發現問題的第一線，若是能及早發現問題將可盡速處理，避免對嬰幼兒健康造成危害。因此，筆者期望藉由此篇個案報告之照護經驗，提供護理人員日後在照顧此類個案時之參考。

關鍵字

腹股溝疝氣 ； 新生兒疼痛

並列摘要

Inguinal hernia is a common disease in children. Because of the differences in reproductive structures, the symptoms are more evident in boys than in girls. As a result, girls with hernias may experience a delay in treatment. In this study, the post-surgery care of a newborn baby is discussed. Through individual nursing care provided between February 21 and March 22 in 2008, we concluded that nursing problems include pain management, potential infection, and caregiver role strain. We collected health data for infant behavior assessment, body appraisal, and for the pain assessment tool, as well as for discussion with the patient's family. We provided individualized nursing care combined with drug and non-drug pain relief techniques to reduce the patients' pain. We also offered family-oriented patient-care advice based on individual needs for the design of an educational manual. This manual can assist parents in caring for the wounds of newborns. It can reduce the parent's anxiety in caring for a newborn at home. Along with the importance of providing physical assessments for newborns and young children, the findings in this study offer nurses a tool for assessing and managing health problems effectively when caring for these patients.

並列關鍵字

inguinal hernia ； newborn pain