一位母親面對呼吸窘迫患孩其壓力及調適行為

Pressure and Adaptive Behavior of a Mother Coping with a Respiratory Distress Newborn

本文在探討一位母親在生下呼吸窘迫症之早產兒後其壓力及調適行為。於患孩住加護病房期間與患孩母親的互動，以語言及非語言行為過程記錄方式記載，再以內容分析予之整理歸納。發現個案的壓力源有：早產兒的外觀、與患孩分離的焦慮及特殊的醫療設備及處理。而影響親子關係建立的相關因素分為三部份：一、害怕早產兒受傷害；二、早產兒病情改善；三、與他人比較。早產兒母親的反應與調適行為分析為四部份：一、失落及愧疚；二、哀傷反應；三、不確定感；四、調適行為。再依個案的調適行為細分為運用支持系統、尋求相關資訊、維持親子聯繫感及接受事實。由護理此個案之經驗得知呼吸窘迫症早產兒母親，面對其不是自己幻想中理想的嬰兒，其所承受的壓力及一連串的調適行為，是極需護理人員及其他支持系統的協助與幫助，讓她得以調適度過，而接受事實。

This paper reported the pressure and adaptive behavior of a mother of a premature newborn with respiratory distress. During the period of neonatal intensive care, the verbal and non-verbal interactions between the case and her sick baby were recorded. The pressures of the mother were mainly from the appearance of the premature baby, the anxiety of being isolated, and the fears for special medical treatments and equipment. The factors affecting parenting included fears for the premature baby being hurt, concerns of disease improvement, and comparison with others. The responses of the mother included disappointment, mourning, uncertainty, and adaptive behaviors of using supportive systems, seeking for information, establishing intimate relationship, and accepting facts. We concluded that the aids from medical staffs and supportive systems may help to relieve the pressures of an anxious mother with premature newborn.