運用發展支持性照護於一氣胸早產兒之護理經驗

Caring for a Premature Infant with Pneumothorax through Developmentally Supportive Care

本文運用發展支持性照護於一位35週早產兒及其氣胸之護理經驗。自2012年10月08日至10月14日護理期間運用觀察及會談進行資料收集及分析後，確立健康問題有一、呼吸型態異常／呼吸窘迫及氣胸有關；二、潛在危險性傷害／新生兒黃疸有關；三、潛在危險性父母／嬰兒依附關係改變/與父母親對早產兒認知不足有關。筆者運用發展支持性照護理論評估早產兒的行為表現及生理需求，提供家庭早產兒照護之相關知識及鼓勵家庭參與照顧與計畫。並與相關醫護人員相互合作提供完整之早產兒照顧，使早產兒呼吸型態明顯改善，提供心理支持促使母親與早產兒有正向依附關係且對於返家照顧早產兒之信心提升。

This study describes a nursing experience of caring for a 35-week premature infant with pneumothorax. During the nursing care period from October 8 to 14, 2012, the author collected data through observation of the infant and interview with the baby's parents. The author analyzed the data and identified the major health problems: abnormal respiratory pattern secondary to respiratory distress and pneumothorax, potential injury related to neonatal jaundice, and potential change in the parent-infant attachment relationship. The author applied the theory of developmentally supportive care in assessing the infant's behavior and physiological needs. The author further provided the family with adequate knowledge for caring for the preterm infant and encouraged the entire family to participate in the care plan of the infant. The author also worked with other health professionals to improve the infant's breathing patterns and offered psychological support for the promotion of a positive attachment relationship between the infant and the mother, further enhancing the mother's confidence in caring for her infant after discharge from the hospital.