協助一位初產婦面臨產下唇顎裂患孩之護理經驗

Nursing Experience of Helping a Mother Who Delivered a Baby with Cleft Lip and Palate

王亮媜(Wang-Liang Chen) ； 許麗燕(Hsu-Li Yen)

《若瑟醫護雜誌》 4卷1期 (2010/06) Pp. 77-86

https://doi.org/10.30145/STJHMNJ.201006.0008

摘要

本文是敘述一位初產婦於懷孕24週時，經詳細超音波檢查，發現懷有唇顎裂寶寶，自產下寶寶後，從震驚、否認、焦慮到接受之護理過程，筆者於93年8月5日至93年8月8日護理期間運用Gordon's十一項功能性健康型態作為評估工具，以會談、觀察、護理評估、電訪及家庭訪視收集資料，確認個案有預期性哀傷，及照顧者角色緊張之健康問題，針對個案擬定個別性護理計劃，給予個案鼓勵、支持、引導個案接受有唇顎裂寶寶的事實，並加強支持系統，協助個案減輕哀傷及增加照顧之自信心。在措施執行後，個案能夠接受且學會照顧寶寶。面對這樣的個案，除了關心與鼓勵外，更需要有良好的支持系統，才能使有缺陷兒的母親，儘快的渡過憂傷期，提昇其照顧寶寶的意願。

關鍵字

唇顎裂 ； 預期性哀傷 ； 缺陷兒

並列摘要

This article is about nursing experience of a primipara who found her baby with cleft lip and palate after the scheduled sonography examination at the 24th week of pregnancy. After the baby was born, she experienced a course of shock, denied, anxiety and then acceptance. We used Gordon's Nursing Assessment and collected data through person-to-person interview, observation, nursing assessment, telephone interview and home visit during August 5 to 8, 2004. Major nursing problems included anticipatory grief and stress as a caregiver. We seted up individual nursing plans to encourage, support and guide the mother to accept the truth that the baby is defective, as well as to enhance the supportive system, and help her to alleviate the grief and reinforce the confidence in taking care of the baby. As the plan was in progress, the mother accepted the baby and learned how to take care of him. We supposed that it needs thoughtfulness, encouragement, and a good supportive system to confront such a client, so that we can help the mother to get over the grief and improve the willingness of her to take care of the baby.

並列關鍵字

Cleft lip and palate ； anticipatory grief ； defective baby