接受不孕症治療合併卵巢過度刺激症候群病患照護經驗

An Experience Nursing a Patient with Ovarian Hyperstimulation Syndrome Who Has Undergone Artificial Fertilization Treatment

隨著不孕症人口急遽增加，人工生殖技術治療為不孕症人口帶來一線曙光，但在治療過程中所帶來的合併症對個案與家庭造成極大的衝擊。本文是運用羅氏適應理論探討一位接受人工生殖治療合併卵巢過度刺激症候群的個案，筆者在護理期間經由身體評估、會談及觀察的技巧，評估確立個案有營養少於身體所需、體液容積過量、疼痛、無力感等問題，實際運用主動關懷，提供專業知識及諮詢機會，並減輕個案不孕過程中接受治療時產生生理的不適，及應用傾聽溝通技巧協助心理上的適應，並落實提供以家庭為中心的護理理念，協助不孕家庭克服壓力及促進家庭的調適。期望藉此次照護經驗的分享能提供護理同仁日後面對不孕症婦女照護時，不僅能給予生理上的照護外，更能重視心理層面的問題，以達完整性的照護品質。

With the growing incidence of infertility in the modern world, artificial fertilization techniques provide new hope for many would-be parents. However, side-effects of the treatment can have a huge impact on patients and their families. This article employs Roy's adaptation model to study a patient with ovarian hyperstimulation syndrome who had undergone artificial fertilization treatment. Under careful assessment and examination, the author discovered that the patient suffered from such problems as malnutrition, fluid overload, pain and lethargy, etc. By employing skillful communication techniques and the display of empathy, the author helped to alleviate the patient's sufferings during treatment, as well as providing professional knowledge and advice. To help the patient in resolving difficulties that might have been encountered in the family, the author also exercised the idea of the family as core. The author hopes to share the knowledge that, in the care of patients with infertility, it is vital that health care professionals look after their psychological requirements as well as their physical care, in order to provide optimum care.