一位初產婦與其早產兒建立依附關係的過程

The Process of Attachment between a Primipara and her Premature Infant

本文主要探討一位產婦，罹患妊娠性高血壓而接受緊急剖腹生產，產下早產兒後的親子關係建立的過程。本篇個案報告是以參與者的方式來進行資料收集，於護理個案期間與個案互動的行為過程加以紀錄，再經由內容分析整理歸納。結果顯示個案的行為特性，包括確認行為、比較行為、評價行為。由個案表現出的行為特性，可知其面對早產的衝擊及早產兒無法控制的未來顯得手足無措，於母親角色的認同過程顯得辛苦，此時護理人員適時介入，提供自己成為一個諮詢者、支持者及照顧協助者，除增強個案的信心外，也促進個案親子關係的建立。

This paper focused on the building process of attachment when a primipara suffered from pregnancy-induced hypertension and delivered a premature infant by emergency cesarean section. The participatory method was used to collect data for this case study. Interactions and behavioral processes were recorded during care and analyzed in a narrative form. Subsequently, the data were finalized using content analysis. Results showed that the maternal behaviors were evaluated from three points of view: orienting behavior, evaluating behavior and comparing behavior. The mother encountered the sudden impact of preterm labor and faced the unpredictable future events of having a premature infant. As a result, she appeared to struggle in the progress of being a mother. A nurse can intervene by serving as a consultant, supporter, and caregiver, enhancing the mother's confidence, and helping to establish a positive mother-infant relationship.