照顧一位紅斑性狼瘡個案早產之護理經驗

The Nursing Experiences of Taking Care of a Premature Delivery Patient with Systemic Lupus Erythematosus

紅斑性狼瘡婦女在懷孕後往往會引發更嚴重的紅斑性狼瘡症狀，本文為照顧一位懷孕18週時因罹患紅斑性狼瘡導致早產患者之護理經驗，筆者護理期間自2006年4月21日至5月10日，運用觀察、會談及身體評估等方法收集資料，以Gorden十一項健康型態評估為指引，評估個案有體液容積過量、身體心像紊亂及潛在危險性父母／嬰兒依附關係改變的健康問題，在護理過程中，減輕個案水腫及呼吸困難所帶來之不適，協助接受因懷孕生產後和服用類固醇導致的身體心像改變及協助增強對新生兒間的互動及依附關係，筆者藉由照護中提供疾病相關的護理指導、接受個案的感受及適時的陪伴及心理支持，協助面對及調適懷孕過程中罹病及早產的衝擊。希望藉此護理經驗能增進護理人員對此類病人的了解，進而能發揮護理功能，協助病患順利度過病程。

This case report described the nursing experience of caring a premature delivery patient with systemic lupus erythematosus. From April 21 to May 10, 2006, the author used the Gorden 11- item Functional Health Pattern for identification of health problems. Information were collected by observation , support, and interview. The findings included fluid volume deficit, body image disturbance, and the change of parent/infant/child attachment. Nursing care included relieving patient's edema and dyspnea sign, and helping her increase parent/infant/child attachment. This article shared the nursing experience and process of patient care.