- 期刊
照顧一位不孕症婦女接受人工授孕後面臨終止妊娠的護理經驗
Nursing Experience in Caring for an Infertile Woman Who Facing Pregnancy Termination after Undergoing Artificial Insemination
摘要
本文描述一位不孕症婦女經歷多次人工生殖療程後成功授孕，但在孕期第九週時，超音波產檢發現胎兒心跳停止，頓時被迫面對胎兒死亡且需立即終止妊娠，進而產生極大的失落感與哀傷。筆者於2020年1月10日至2月3日透過直接照顧、觀察、身體評估與電訪收集資料，並運用Gordan十一項健康功能評估，個案健康問題包括：睡眠型態紊亂、焦慮和哀傷，照護期間筆者給予個別性照護及藉由主動關懷、陪伴、了解個案需求，並以同理心適時的引導、傾聽內心情緒感受，輔以宗教信仰與心靈撫慰，讓個案勇敢地面對失去胎兒的事實，使其重新適應現況及規劃未來生活計劃，共同陪伴渡過終止妊娠的哀傷過程。建議單位同仁參與相關哀傷輔導技巧工作坊及能適時轉介心理諮詢，共同扶持個案走出哀傷歷程。期望藉此經驗提升護理同仁在面對終止妊娠婦女時的專業照護品質。
並列摘要
This article describes an infertile woman who successfully conceived after undergoing multiple artificial reproductive procedures. However, in the ninth week of pregnancy, an ultrasound examination was conducted and found no fetal heartbeat. Due to fetal demise, the woman was recommended to undergo termination of the pregnancy which resulted in a feeling of immense loss and sadness. From January 10^(th), 2020, to February 3^(rd), the author collected the data through direct care, observation, and physical assessment of the patient as well as follow-up telephone interviews. The author used the Gordon 11 Function Health Patterns for nursing assessment. The health problems of this case included: sleep pattern disturbance, anxiety and grief. During this period, the author offered individualized care by showing empathy and compassion, offering companionship, and understanding and listening to the patient's needs and feelings. In addition, religious and spiritual comfort were provided. The author assisted the patient in facing the loss of the fetus and helped her adapt to the current situation and plan her future life, as well as accompanied her through the process of pregnancy termination. It is suggested that medical professionals participate in relevant grief counseling skills workshops and refer the case to a psychological counseling in a timely manner to support patients with the grieving process. With the right training and experience, the nursing care of women whom encounter fetal demise and pregnancy termination will become more comprehensive and effective.