父母於早產兒住院期間的親職議題及護理

Parenting and Nursing Issues Faced by Parents During the Hospitalization of Their Preterm Infants

早產常是突發事件，衝擊著早產兒健康及親職的行使，而親職功能的發揮與早產兒預後密不可分，值得重視。本文採用以家庭為中心的整體性概念，分析早產事件對早產兒健康、親職角色衝擊、以及親職功能的影響。在進行文獻整理後發現，有關提升親職功能方面，可藉由親子連結、信心增強、壓力管理、人際支持、出院準備等五個面向來進行介入措施。這些具體措施可幫助護理同仁在臨床照護上用來協助父母提升親職能力，採正向的因應行為來維持家庭功能良好的運轉，幫助早產兒順利健康的長大。

Preterm labor is often a sudden event that impacts significantly on the health of the premature infant and on parenting behaviors. The prognosis for premature infants correlates positively with the effectiveness of parenting. Therefore, encouraging parental functions is important. The present paper reviews the literature on the concept of family-centered care in the contexts of premature-infant health problems, assesses the impacts of preterm birth on the parental role, and assesses the influences of parental dysfunction. We suggest that related interventions promote parental function in the five dimensions of parental bonding, confidence reinforcement, stress management, interpersonal support, and pre-discharge preparation. The intervention framework that is developed in the present paper is intended to assist clinical nurses to help parents use positive coping behavior to encourage healthy parental and family function and to promote the health of their premature infant.