新生兒鴉片類戒斷症候群之護理評估與處置

Nursing Management of Neonatal Opiate Abstinence Syndrome

照護鴉片成癮的新生兒對護理人員而言是項挑戰，因為此類新生兒為高危險群且易出現許多合併症，臨床醫護人員必須了解懷孕期間鴉片類依賴的孕婦對新生兒的影響。本文主要介紹新生兒戒斷症候群的主要行為特徵、目前臨床常使用的評估量表，以及如何給予適當的藥物治療和護理措施。護理人員應擬定出院計畫及尋求社區的支持，使被動鴉片類成癮的新生兒得到適當的醫療照護，安全的使戒斷症狀得到緩解。

Caring for infants with neonatal opiate abstinence syndrome is a challenge for nursing staff. These infants are at high risk for many complications. Nurses should be aware of the influences on neonates of maternal opium addiction during pregnancy. This article discusses clinical manifestations of neonatal opiate abstinence syndrome, common assessment tools for neonatal abstinence syndrome, and a variety of medical treatments and nursing interventions. In order to obtain adequate medical care for the neonates and safely alleviate their neonatal abstinence system, nurses should develop a comprehensive discharge plan and seek community support for the neonate's family.