照顧一位新移民婦女早期破水的安胎護理經驗

A Nursing Experience of Caring for a Immigration Woman Premature Rupture of Membranes

本文為探討一位越南籍新移民婦女懷孕30週，因早期破水入院安胎至36週的護理過程。筆者於2009年4月10日至2009年5月25日間照護此個案，經由生理評估、會談及觀察，運用Gordon十一項功能性健康型態評估個案，發現個案健康問題有保護能力改變、睡眠型態紊亂、焦慮。在照護過程中提供越語版衛教手冊並以簡單字旬提供早期破水安胎的相關訊息。介紹相同經驗之越南籍婦女提供經驗分享，運用傾聽的溝通方式、鼓勵個案表達內心及想法，以降低其焦慮程度及協助個案適應安胎所致之影響。期望藉此個案照護經驗之分享，能提供護理人員日後照護新移民婦女的安胎過程時，提供更適切的照護方式，來協助新移民婦女度過住院安胎過程。

This article describes a nursing experience of caring for a 36-week pregnant woman with premature rupture of membranes. The patient was a new immigrant from Vietnam to Taiwan. She was admitted to the hospital to prevent miscarriage because of premature rupture of membranes. The nursing period was from April 10 to May 24, 2009. Through physical assessment, interview, and observation, the author applied Gordon's 11 functional health patterns for the patient's health assessment. Data were collected based on physical examination, interview, and observation. The identified problems were impaired ability of fetus protection, disturbance of sleep pattern, and anxiety. To decrease the patient's level of anxiety and prevent the potential risk of miscarriage, nursing interventions included providing the patient with educational material regarding premature rupture of membranes in Vietnamese introducing other Vietnamese women who had similar experiences to the patient to share experiences, and encouraging the patient to express internal thoughts with active listening. The author expects this to be a useful article for other nurses caring for patients with a similar diagnosis and background.