- 期刊
一位卵巢過度刺激症候群患者的護理經驗
Nursing Experience of a Patient with Ovarian Hyperstuimulated Syndrome
摘要
本個案報告是描述一位接受輔助生殖科技治療的婦女，罹患卵巢過度刺激症候群的護理經驗。筆者在個案住院期間擔任主護護理師，並應用護理過程以系統性觀察及會談收集資料，以Gorden(1987)的11項功能性健康型態為理論架構進行護理評估，確立個案的健康問題。筆者藉由護理經驗深入瞭解罹患卵巢過度刺激症候群患者所面臨的生理、心理等方面的問題，發現個案在住院期間所發生的健康問題有低效性的呼吸型態、體液容積過量、及焦慮。由於筆者適時的介入，在護理過程中運用主動關懷及同理心，與個案建立信任的治療關係，應用周詳的護理計劃，使其生理上的不適减至最低，心理上的壓力與衝擊，也能經由此種信任的治療性關係提供諮詢的機會，幫助個案面對及解决健康問題，同時增進個案與家屬的溝通，使家屬能陪伴個案渡過疾病不適期。最後筆者希望藉此護理經驗之分享，提供未來相關護計書的參考。
並列摘要
This case study described the nursing experience in caring a woman who accepted of assisted reproductive technology and suffered from ovarian hyperstimulated syndrome (OHSS).The researcher worked as a primary nurse during the client's hospital stay and applied nursing process to collect the data by systematic observation and conversation. Gordon's (1987)11-item functional health pattern was utilized as the theoretical framework for nursing assessment to assess the client's health problems. By the nursing experience of caring, the researcher deeply realized a woman with OHSS faced the problems of physical and psychological aspects. The health problems of client found by the researcher were of ineffective breathing pattern, excess fluid volume, and anxiety. As a result of appropriate nursing intervention, through acting caring with sympathy in nursing process, the treatment relationship of trust was built between the researcher and the client. Furthermore, the complete nursing care plans were applied and opportunities of counselling were provided to decrease client's physical discomfort and psychological impact. Due to the treatment relationship of trust, the client was helped to face and solve her health problems. Meanwhile, the author focused on increasing effective communication between the client and her family. The family could consequently accompany her to undergo this disease. Finally, this nursing experience is presented as an example for the reference of future care in similar situation.
延伸閱讀
- Chien, C. L., Lin, C. M., Wang, W. S., Kao, H. F., & Roan, C. H. (2010). 卵巢過度刺激症候群：病例分析. 童綜合醫學雜誌, 4(1), 36-41. https://doi.org/10.29838/TMJ.201006.0006
- 鄭育眞、黃雅儀（2010）。一位卵巢癌復發病患經歷手術治療後之護理經驗。長庚護理，21(2)，256-264。https://doi.org/10.6386/CGN.201006_21(2).0014
- 柯惠娟、陳淑芬（2005）。接受不孕症治療合併卵巢過度刺激症候群病患照護經驗。護理雜誌，52(3)，90-96。https://doi.org/10.6224/JN.52.3.90
- 蔡惠如、鍾芬芳、蔡麗紅（2021）。照護一位罹患卵黃囊腫瘤婦女之護理經驗。長庚科技學刊，(34)，133-144。https://doi.org/10.6192/CGUST.202106_(34).11
- 陳盈穎、李彩緣、陳宥蓁（2021）。Nursing Experience with a Postpartum Patient with Ovarian Cancer, Complicated by Ascites。澄清醫護管理雜誌，17(1)，56-65。https://www.airitilibrary.com/Article/Detail?DocID=18136702-202101-202101120011-202101120011-56-65