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應用出院準備照顧一位巴陶氏症新生兒之護理經驗

Nursing Experience of Implementing Discharge Planning on a Neonate with Patau Syndrome

摘要


本文敘述照護一位巴陶氏症新生兒、母親及其家庭面對多重畸形兒產生親子依附關係不足之照護經驗。護理期間自2014年8月9日至8月30日,運用整體性評估作為評估架構,藉由照護個案之護理過程中與案父母建立信任關係,收集個案及主要照顧者之相關資料,確立主要健康問題有:一、呼吸道清除功能失效。二、照顧者角色緊張。三、潛在危險性嬰兒依附關係障礙。筆者運用家庭照護中心模式,協助父母建立良好親子依附關係,提高父母親對個案照護之參與接受度,滿足家庭成員間的需求,並適時提供新生兒安寧療護資訊,鼓勵及協助引導父母親之哀傷情緒的宣洩,進而接受會失去個案的心理調適。

關鍵字

巴陶氏症 新生兒 出院準備

並列摘要


The paper describes the nursing experience of caring for a neonate with Patau syndrome. The mother and their family were in face of multiple abnormalities presented in the child which resulted in an inadequate parent-child attachment relationship. The nursing period was from August 9 to 30, 2014. The author used holistic assessment and collected the information about the case and primary caregivers based on a good relationship with the case's parents. The identified health problems were: an ineffective airway clearance, role distress of the caregivers and a risk of impairment in attachment. The author applied family center model to assist the parents in building a good parent-child attachment and enhance the parents to participate in the care of the child. The author also provided information regarding neonatal hospice care to encourage and assist the parents to understand the sadness and then accept the possible loss of child's for the aim of emotional adjustment if needed.

並列關鍵字

Patau syndrome neonate discharge planning

被引用紀錄


丁珮華(2019)。運用安寧療護過程於一個極低體重早產兒家庭之照護經驗彰化護理26(4),49-60。https://doi.org/10.6647/CN.201912_26(4).0012
李靜旻、黃鈺婷、林凱慧(2023)。照顧一位複雜性腹裂新生兒之護理經驗長庚護理34(),1-11。https://doi.org/10.6386/CGN.202304/SP_34_1.0011

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