照護一位接受人工受孕住院安胎孕婦之護理經驗

The Nursing Experience of an Artificially Fertilized Pregnant Woman Undergoing Tocolysis in Hospital

本報告是一位不孕症婦女於人工受孕後20週發生早發性子宮收縮而入院安胎之照護經驗。護理期間為2005年5月31日至6月28日，筆者為主護護士使用羅氏適應理論評估收集資料，發現個案因安胎藥物的副作用及長期臥床休息產生便秘、舒適情況改變和潛在性知覺剝削等問題，也因懷孕過程不順利及面臨早產的威脅產生對安胎相關知識缺失而焦慮。透過給予個案個別性護理措施、心理的支持並介紹病房中相同情境之安胎病友彼此交流安胎經驗和訊息分享，以有效緩解壓力及調適安胎過程，故出院時護理問題已獲得改善。藉由此次的護理經驗，發現護理人員唯有了解孕婦住院安胎時產生的問題和壓力，才能提供適切的支持性護理，以協助其渡過安胎過程。另外善用病友相互支持分享，可有效緩解個案住院壓力，期待此篇報告可作為護理人員照顧此類孕婦之參考。

This case report described the nursing experience of an artificial fertilized pregnant woman who received tocolysis beginning from the 20th week of pregnancy. During the nursing period from May 31 to June 28, 2005, the author applied Roy’s Adaptation Model to analyze the collected data and found that the nursing problems included not only side-effect of medication but also conditions caused by long term bed-rest, such as constipation, discomfort, and sensory disturbance. Other problems included fear and anxiety toward premature delivery due to lack of knowledge about tocolysis. Through individual nursing intervention, mental support, and experience exchange with other similar patients, we were able to release patient’s stress and solve her nursing problems. We concluded that the best way to provide proper supports for a safe tocolysis is to understand the problems and stresses of a pregnant woman during bed-rest nursing. The findings are helpful in promoting nursing quality of caring for pregnant woman in tocolysis.