照顧一位經歷風災後重建家庭之新移民婦女產後護理經驗

The Nursing Experience of Postpartum Care for an Immigrant Woman Who Lost Her Family in a Disaster and was Rebuilding a New Family

本文描述一位新移民婦女在遭遇八八風災失去原有家人後，重新建立新家庭的產後照護經驗。護理期間自2010年11年29日至12月2日，並產後電訪後續追蹤一個月。期間使用家庭評估與Leininger泛文化照顧理論模式，評估個案及其家庭在產後健康與跨文化層面問題，結果發現個案主要護理問題有疼痛、低效性母乳哺餵、焦慮等。在護理過程中，提供舒適照顧技巧協助個案減輕產後生理的不適。運用陪伴、傾聽與及心理支持照護，減少個案對未來的焦慮。並藉由個案成功哺乳與育兒的經驗，使其在母育角色建立自信與成就感，協助個案家庭順利的適應產後期轉變的歷程。期望藉此個案報告能提供臨床護理人員在照護災難後家庭與新移民婦女等弱勢族群執行相關護理照護時之參考。

This article described the nursing experience of postpartum care for an immigrant woman who lost her family after Typhoon Morakot and was rebuilding a new family. The nursing period was from November 29 to December 2 with one-month follow up after postpartum by telephone in 2010. The author applied family assessment and Leininger transculture theory to evaluate her postpartum health and transculture health issues. The identified health problems included pain, ineffective breastfeeding, and anxiety. We used comforting care skill to decrease her postpartum physical discomfort. Nursing accompany, listening, and mental support were used to decrease anxiety of the subject. Her success of breastfeeding and mothering experience encouraged her to establish the maternal role. Her family successfully adapts to the transformation postpartum period. We expect this nursing experience can provide further nursing directions for caring the vulnerable population in disaster families and immigrant women.