- 期刊
照護一位初產婦自然產後會陰血腫之護理經驗
Nursing Experience of Caring for a Primipara With Postpartum Perineal Hematoma
摘要
本文是探討一位初產婦於自然產後發生會陰血腫之護理經驗。護理期間為2020年9月10日至9月13日，運用Gordon 11項功能性健康型態為架構，透過觀察、會談、身體評估及病歷查閱等方式收集資料，確立健康問題有：（一）疼痛／會陰血腫的傷口；（二）焦慮／擔心會陰血腫傷口復原不佳；（三）親職角色衝突／擔心無法勝任母性角色任務。照護期間每日評估個案會陰傷口狀況，觀察血腫瘀紫範圍有無改善，並提供緩解疼痛的方法，如採舒適姿位、溫水坐浴及深呼吸技巧等，幫助個案改善疼痛促進舒適，在疼痛緩解後，再給予指導增進親子連結之相關護理措施，指導新生兒照顧技巧，然而在護理過程中發現除了需照護個案的生理層面，其心理支持系統也是相當重要的，建議多鼓勵配偶共同參與護理計劃，持續予個案支持及關懷，降低個案焦慮不安的情緒，進而達到完整性的護理。
並列摘要
We describe the nursing experience of caring for a primipara patient who experienced postpartum puerperal genital hematoma. The nursing care period was September 10 to 13, 2020. Based on Gordon's 11 functional health patterns, a nurse assessed the patient's health by conducting a physical examination, administering a direct care intervention, recording observations of vital signs, conducting interviews, and reviewing the patient's medical records. After the complete nursing assessment, pain, anxiety, and a parenting role conflict were identified as related problems. The nurse first educated the patient on how to relieve vaginal pain through sitz baths, medication, and mindful meditation and breathing. Second, to ease the patient's anxiety and resolve the parenting role conflict, the nurse provided the patient with psychological support and a guide on first-time parenting. Most importantly, the nurse encouraged both the husband and wife to participate in the nursing care plan.