照護一位感染新型冠狀病毒初產婦之護理經驗

Nursing Experience of a Primiparous Mother With COVID-19

10.6142/VGHN.202406_41(2).0010

吳秋鳳(Chiu-Feng Wu)；羅苑萍(Yuan-Ping Lo)

嚴重特殊傳染性肺炎 ； 焦慮 ； Swanson關懷照護理論 ； COVID-19 ； anxiety ； Swanson's Theory of Caring

榮總護理

41卷2期（2024 / 06 / 01）

185 - 192

繁體中文;英文

本文為照護一位感染新型冠狀病毒初產婦之護理經驗，因懷孕末期需面對感染後疾病進展的不確定感及擔心胎兒之安全，而出現負向情緒，照護期間自2022年6月2日至6月5日，筆者主動關懷病人，運用Swanson關懷照護理論作為護理評估，藉由開放性會談、觀察、電話訪談及身體評估收集資料，發現病人有急性疼痛、焦慮、潛在危險性照顧者角色緊張等健康問題。護理過程中以關懷及同理心等技巧，陪伴及引導病人表達內心感受。另外運用通訊軟體做為橋樑，在待產期間即時為病人解惑，強化陪產者之角色功能，減輕病人不安之情緒，彌補護理人員無法陪伴在旁的不足。同時為了密切監測產程進展，於待產時、產後利用多元化衛教，將衛教內容錄製成影片，運用衛教雲平台系統，提供確診產婦QR code時刻獲取相關資訊及衛教，並且利用通訊軟體「LINE」，使其於隔離期間仍可看到新生兒，親子依附關係能早些建立，亦能減輕產婦的擔憂及焦慮感。希望藉此護理經驗，提供臨床護理人員在往後照護類似確診病人時能更得心應手，減輕照護確診者的心理壓力，亦可有效降低醫療人員暴露於染疫風險，同時提供染疫產婦良好的照護品質。

This article describes the care provided to a primiparous mother with COVID-19. The expectant mother experienced negative emotions during the caregiving period from June 2-5, 2022, because of the uncertainty surrounding her disease progression and concerns over fetal safety during late pregnancy. The author provided care to the patient by deploying Swanson's Theory of Caring as a nursing assessment model, collecting data through open-ended discussions, observations, telephone interviews, and physical assessments. Health problems such as "acute pain," "anxiety," and "potential danger-related caregiver role tension" were observed in the patient. This study emphasizes the use of techniques such as care and empathy during the nursing process and accompanying and guiding expectant mothers in expressing their feelings. Additionally, this study employed communication software to provide real-time clarification to expectant mothers during the antenatal period, thereby reinforcing the role of birth companions, alleviating the anxiety of the expectant mother, and compensating for the physical absence of nursing personnel. Furthermore, diversified health education was utilized to closely monitor the progress of childbirth. Educational content was recorded to make videos, which were uploaded to a health education cloud platform and made accessible to expectant mothers through the scanning of a QR code. Furthermore, the communication software LINE was employed to enable expectant mothers to see their newborns during isolation, thereby not only fostering early parent-child attachment but also mitigating the anxiety of the mother. We expect that this study can serve as a reference for clinical nursing personnel to care for similar patients in the future, potentially resulting in reduced psychological pressure on expectant mothers. The proposed nursing strategy also effectively mitigated the healthcare personnel's infection risk while enabling them to provide high-quality care to the expectant mother.

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