高齡產婦面臨胎兒異常之照護經驗

Nursing Care on an Advanced Maternal in Perinatal Loss

本文是照護一位懷孕22週、胎兒異常而需終止妊娠之產婦的經驗，照護個案住院期間共四天，並以電話追蹤其調適情形。筆者運用羅氏理論，以觀察、會談及諮詢、傾聽、病歷查閱，歸納及分析後，發現主要健康問題有疼痛、哀傷及睡眠型態紊亂等。照護重點除維持個案身心靈安適，並由正向的護理支持及鼓勵，幫助個案與家人渡過悲傷期，進而提供更人性化的關懷照護。期藉此護理經驗的分享，以提升專業品質。

This is a case report of nursing care on a woman suffered from perinatal loss. The pregnancy was terminated at 22nd week due to fetal abnormality. The case was under inpatient care for 4 days and was followed up with monthly phone calls for 3 months after hospital discharge. Roy's adaptation model was used during the entire care process. Information was collected through various techniques such as observing, interviewing, consoling, listening, and reviewing medical record. Our nursing care was to identify problems and to promote physical and mental adjustment. The major problems identified were pain, grief and disrupting sleeping pattern. Patient centered care was focused on maintaining physical comfort for the patient and helping the patient and her family work through the grief process by providing emotional support or positive feedback. We are sharing this care process with nursing professionals to improve care quality for woman with perinatal loss