運用Watson關懷理論協助一位高齡初孕婦安胎之護理經驗

Adoption of Watson’s Caring Theory in Helping an Elderly Primigravida with Tocolysis

本文在分享運用Watson關懷理論於一位高齡初孕婦因子宮早期收縮住院安胎之護理經驗，筆者於民國95年10月17日至11月15日護理期間以會談、觀察及身體評估收集資料，發現個案擔憂早發性分娩對胎兒健康造成威脅，及為適應及學習高危險妊娠的限制及需要，引發個案有焦慮、便秘、健康尋求行為的問題。筆者運用Watson關懷理論，與病人建立信任關係、激發信心與希望，並接受她正負向情感的表達、提供個別性的護理措施及支持保護性的身、心、靈及社會的環境、協助解決便秘問題、提供醫療訊息，增進知識及自我照顧能力後，發現個案焦慮減輕、便秘改善，自我照顧能力提昇。冀望此護理經驗提供大家分享，作為日後照護此新病患時的參考。

This article is about adoption of Watson's caring theory for a 38-year-old primigravida, who presented with early uterine contraction and was hospitalized for tocolysis. Clinical data was collected and assessed by interview, observation and body assessment during October 17th and November 15th, 2006. We found the client worried about the fetal health owing to premature labor and felt frustrated about limitations and demands of learning and accomadating herself to high-risk labor, resulting in anxiety, constipation and health-seeking behaviors. We used Watson's caring theory to bulid up mutual reliance with the patient, to inspire faith and hope in her, and to accept her positive and negative emotional expressions. Besides, we provided individual nursing assessment and physical, mental, spiritual and social environments with supportive and protective systems, helped solve constipation, gave medical informations, and improved the knowledge and self-care ability, in order to help the patient decrease the anxiety, improve constipation and promote the ability of taking care of herself. We look forward to sharing this nursing experience as a reference resource in taking care of such clients.