運用跨團隊資源協助一位確診COVID-19孕婦分娩之照護經驗

Nursing Experience Using Multidisciplinary Team Care to Assist a Pregnant Woman Confirmed with Covid-19 in Childbirth

10.29494/LN.202206_23(2).0002

周寶鈺(Pao-Yu Chou)；段欣妤(His-Yu Tuan)；斯莉婷(Li-Ting Szu)；楊素月(Su-yueh Yang)；蘇慧娟(Hui-Chuan Su)

跨專業團隊 ； 居家隔離 ； COVID-19 ； 分娩 ； multidisciplinary team ； home isolation ； COVID-19 ； childbirth

領導護理

23卷2期（2022 / 06 / 01）

10 - 23

繁體中文

本文為31歲女性懷孕妊娠37^(+3)週，因接觸COVID-19確診者，居家隔離期間確診COVID-19感染。照護期間自2021年5月15日至5月20日，隔離期間依Gordon十一項評估功能性健康型態為評估架構，透過電話會談、通訊設備傳遞等方式收集資料，確立個案有健康維護能力失常及焦慮二項主要健康問題。筆者與個案居家隔離期間建立良好之護病關係，運用多元通訊設備聯繫、護理過程中感受產婦對居家隔離及對生產的不確定感，針對臨床之身心症狀，教導其呼吸監測並提供個別性之孕期指導，降低其焦慮及身心壓力，順利到院完成生產。筆者初次照顧COVID-19感染者，期能藉此文提供護理人員對照護嚴重特殊傳染性肺炎產婦之生產過程與經驗，做為此類個案之臨床照護參考。

This article is about a 31-year-old woman who was thirty seven plus three weeks pregnant, was also a close contact of someone diagnosed with COVID-19, and hence diagnosed with COVID-19 infection during home isolation period. During the nursing period, from May the 15th to 20th, 2021; throughout the isolation period, following Gordon's Eleven Functional Health Patterns as the evaluation framework, data were collected through telephone interviews, communication equipment transmission, and so on to establish the ineffective health maintenance ability and anxiety as two major health issues. The author establishes a good relationship with the patient during home isolation period, uses multiple communication devices to communicate among each other, and senses the maternal uncertainty of the patient about home isolation and childbirth during the nursing process. For clinical purpose, shown physical and mental symptoms, teaches respiratory monitoring and provides individualized pregnancy guidance, to reduce patient's anxiety as well as physical and mental stress, in order to successfully complete delivery process in the hospital. The author is caring for COVID-19 infected patient for the first time and hopes to use this article to provide nursing staff with the delivery process and experience of nursing mothers with severe special infectious pneumonia; as a reference for clinical care of such cases.

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