協助一位越南籍產婦產後調適之護理經驗

Caring for a Foreign Bride from Vietnam-a Nursing Experience about Postpartum Adaptation

10.30145/STJHMNJ.200906.0009

游淑如(Shu-Ru Yu)；顏紋禹(Hsiao-Yu Yen)

產後調適 ； 產褥期壓力 ； 外籍新娘 ； cultural care model ； postpartum stress ； foreign bride

若瑟醫護雜誌

3卷1期（2009 / 06 / 01）

70 - 79

繁體中文

本文是探討一位越南新娘，在語言文化，生活習慣仍在調適的過程中，即面臨生產及照護新生兒的多重角色調適，護理期間於94年l月14日至l月17日。筆者透過觀察及半結構性的會談方式收集資料，會談期間觀察產婦所表達的語言及非語言行為，加以有系統的分析歸類，確立個案產褥期的主要護理問題有：l.急性疼痛；2.潛在危險性父母；3.言辭溝通障礙；4.無效性母乳哺餦等。照護期間主動協助個案解決生理、心理及文化差異所造成的不過應，除增強個案產後自我照顧的能力及適應產褥期的各種壓力外，也能成功的扮演母親的角色，使提高產婦及新生兒之健康照護品質。

This article describes a foreign bride from Vietnam who got unaccommodated with language, culture and life and faced multiple roles adaptation about childbirth and newborn care. The nursing period was since Jan 14, 2005 to Jan 17, 2005 and the author performed semi-structure conversations in order to collect data. The author observed this postpartum woman's language and non-language behavior in this period, to analyze and to generalize certain nursing issues including acute pain, risk for impaired parents/infant attachment, impaired verbal communication and ineffective breast feeding. We helped the case to solve the unaccommodation about physical, psychological and cultural difference, to enhance the case self care ability and to adapt stress in postpartum. The author also assisted the patient to play the role of mother successfully, quality of nursing care for improved the postpartum woman and newborn.