照護一位藥物戒斷症候群新生兒之護理經驗

A Nursing Experience of a Newborn with Neonatal Drug Withdrawal Syndrome

陳冠臻(Kuan-Chen Chen)；楊佩欣(Pei-Hsin Yang)；王穗菁(Sui-Ching Wang)

海洛因 ； 藥物濫用 ； 藥物戒斷 ； 新生兒 ； drug abuse ； drug withdrawal ； heroin ； neonatal

志為護理-慈濟護理雜誌

13卷2期（2014 / 04 / 01）

91 - 100

繁體中文

本文敘述一位因母親吸食海洛因，導致新生兒產生藥物戒斷症候群之照護經驗。住院期間，發現個案因戒斷反應產生躁動、哭鬧不安、睡眠紊亂等現象，筆者於2011年3月4日至2011年3月18日照護此個案，以系統性觀察、直接照護與案母會談等方式收集及評估個案資料，歸納出個案有：睡眠形態紊亂、混亂性嬰兒行為、潛在危險性父母－嬰兒依附關係改變等健康問題。運用發展性照護概念為基礎，減少噪音、燈光等刺激來源，增加與新生兒之間撫觸及親子間肌膚接觸等方式，以促進新生兒系統統合及親子間連結。藉由照護案例經驗得知，新生兒戒斷症候群需醫護間完整評估及敏銳觀察力，並與母親或家屬相互配合，以提升完整、適當之照護品質。

This article described the nursing experience of a newborn with drug withdrawal syndrome due to the mother's heroin (drug) abuse. The patient suffered from symptoms of abstinence such as dysphoria, crying and fussing, and disturbed sleep pattern during hospitalization. The nursing period lasted from March 4, 2011 to March 18, 2011, during which information were collected via systematic observation, direct nursing and a conversation with the patient's mother. The following health issues were identified: Disturbed sleep pattern, disorganized infant behavior, and risk for altered parent/infant attachment. Utilizing the concept of developmental care, the author reduced the noise and light, and increased skin-to-skin contact between parents and infant to improve infant systemic integration and parent-child attachment. Through this experience, we realized that drug withdrawal syndrome requires comprehensive assessments and perceptive observation, and family members' coordination is vital in the enhancement of an integrative and appropriate quality care.