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一位因捐卵導致卵巢過度刺激症候群婦女的照護經驗

Nursing Experience with a Woman Suffering from Ovarian Hyperstimulation Syndrome after Oocyte Donation

摘要


本文是探討一位22歲女性於捐卵後併發卵巢過度刺激症候群,於住院間須面對嚴重腹水、腹脹不適外,另對案母隱瞞捐卵行為,身心壓力下使得個案無法作治療的決定,更顯得護理照護的重要性。護理期間為2010年4月29日至2010年5月10日,藉由會談、觀察、身體評估,並應用羅氏適應理論進行評估,確立健康問題有:舒適情況改變、體液容積過量、特定與疾病相關部分知識缺失、病人缺乏適應和解決問題之能力。運用護理專業的知識改善生理不適,同時以主動關懷和傾聽方式,並藉由家庭支持系統之協助,使個案面對疾病及克服身心的痛苦,協助個案達到最佳適應。

並列摘要


This was a case study of a 22-year old woman suffering from ovarian hyperstimulation syndrome after oocyte donation. In the hospital, she dealt with not only the physical symptoms of abdomen distention due to ascites, but also emotional stress from hiding the fact of oocyte donation from her mother. The patient could not make medical decisions which signified the necessity of offering timely nursing intervention. The nursing period started from April 29, 2010 to May 10, 2010. Nursing evaluations were completed via interview, observation, physical evaluation, and Roy's Adaptation model. The health problems included altered comfort pattern, excess fluid volume, knowledge deficit, and ineffective individual coping. By using professional knowledge to improve her physical suffering, giving loving care and listening, and establishing Family Support System, we helped her face the disease, overcome the physical and psychological discomfort, and achieve the best adaptation.

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