協助一位新住民母親於早產兒出院前準備之護理經驗

A Nursing Experience of Assisting a Vietnamese Mother in Preparation for a Discharge Plan for a Premature 1nfant

本文報告係運用羅氏適應模式協助一位20歲越南籍母親於早產兒（矯正週數31週）出院前準備之過程。筆者為早產兒主護護士，護理期間為2006年10月16日至10月23日，透過多次訪談、觀察及運用羅氏適應模式為評估工具深入評估，發現此越南籍母親因其早產兒長期住院無法與嬰兒有效接觸且缺乏幼兒照護經驗、語言溝通技巧不良、支持系統不足、缺乏尋求支援資源能力，歸納其對於早產兒出院返家產生的主要健康問題有：1.社交互動障礙2.角色扮演改變3.照顧者角色緊張。針對問題，筆者與患孩母親共同設計文字圖卡及給予早產兒照護手冊譯本，經由同國籍產婦翻譯及協助下，使患孩母親能更有效的學習，增加其照顧早產兒的能力與信心。The purpose of this report is to outline the process of applying the Roy's adaptation model to assist a 20-year-old Vietnamese mother in preparation for a discharge plan for a premature infant (thirty-one-week correct ages). During the treatment period, from Oct. 16 to 23, 2006, the author, a premature infant nurse, found this Vietnamese mother had many difficulties through interviews, observations, and an in-depth evaluation using the Roy's adaptation model as an assessment instrument. These difficulties of the Vietnamese mother included: 1. no chances to make effective contact with the infant due to the long-term hospitalization of the premature infant; 2. the lack of infant care experience; 3. incapability of oral communicative skills; 4. insufficiency of supports, and 5. inability to seek support resources. The author induced that the Vietnamese mother has three main health problems since the deinstitutionalization of the premature infant. These problems wee: 1. social-interactive obstacle; 2. roles shifting, and 3. caretaker's high anxiety. In order to settle these problems, the author and the mother designed flash cards. In addition, the author offered the translation version of the premature infant care manual to the mother. After the assistance and the translation offered by another Vietnamese mother, the subject of the case was able to learn more quickly and effectively, which increased her ability and confidence in taking care of the premature infant.