一位經歷嬰兒死亡母親的照護經驗

An Experience of Caring for a Mother who has been through the Loss of a Baby

經歷嬰兒死亡的母親，其所引發之哀傷的至慟經驗，對母親的心理影響甚鉅，其悲傷可能延續數年甚至一生。筆者於2009年9月16日擔任值班護理長時，於急診照護此經歷嬰兒死亡的母親，照護個案期間為9月16至19日及9月22日，從急救到診斷死亡到安葬的過程中，透過同理、陪伴、傾聽與支持等照護行動，包含協助嬰兒有尊嚴的死亡：與專業人員溝通爭取不急救與不解剖，維持遺體清潔完整，讓家人能留下回憶。於親人部分協助渡過哀傷：安排家人與嬰兒有道別的機會，協助嬰兒留下生命的記憶，讓家人與孩子能有完整的生命連結，幫助母親轉換依附關係。期望藉此報告，讓護理人員能了解喪嬰母親及其家人的心理歷程，在陪伴關懷中，幫助他們經驗悲傷並減少喪嬰的痛苦。Loss of a baby is devastating. The psychological effects on the mother can last years or even a lifetime. A mother who had been through the loss of a baby came to the emergency room on the 16th of September. The author took care of the mother from the 16th to 19th and 22nd of September. During the whole process from the emergency room to the funeral, the author cared for the mother with compassion, companionship and support. In addition, the author assisted in providing a 'compassionate death' for the baby, i.e. advocating for no CPR and no autopsy to keep the body intact and to leave a good memory for the family. Furthermore, the family was aided through the grieving and mourning processes: arrangements were made for the family to say goodbye to the baby and to take photos of the baby to provide lasting memories, and assistance was given for transforming the mother-infant attachment. The author hopes this report can help nurses understand how the mother and family go through the grieving process and learned how to show their compassion, companionship and caring.