一位初產婦產後逢母喪之照護經驗

Nursing Care Experience of a Primipara Who Lost Her Mother after Childbirth

本文為一位初產婦產後逢母喪之照護經驗。護理期間自2017 年8 月26 日至9 月24 日，筆者藉傾聽、觀察、會談、身體評估進行生理、心理、社會及靈性層面之資料收集，歸納健康問題為哀傷、無效性母乳哺餵與親職角色功能障礙。透過鼓勵抒發情緒，藉宗教力量尋得心靈慰藉來調適哀傷；同理哺乳感受及教導哺餵技巧，使其能舒適哺乳；且同理哀傷影響個案學習照護嬰兒的進度，依其狀況修訂指導計劃，灌輸育兒知能，引導循序漸進照顧嬰兒，並鼓勵家人共同參與照護，改善母職角色扮演的障礙。護理師應瞭解喪親對個案的影響，建議未來有相關教育訓練，協助護理師提昇對不同宗教、習俗等文化敏感度，且認識不同宗教對死亡哀傷的復原輔導。

This article described about a nursing care experience of a primipara who lost her mother after childbirth. Through observation, interview, and physical assessment to collect data from physiologic, psychologic, social, and spiritual aspect between August 26, 2017 and September 24, 2017; and identified the following nursing issues: grief, ineffective breastfeeding, and impaired parenting. We encouraged her to express emotion and through religion to release grief. We also empathized the breastfeeding experience and advised accurate breastfeeding skills to make her breastfeeding more comfortable. Due to the grief impacting schedule of the baby-care learning, we revised the mentoring program according to her status, implanted knowledge of baby care to guide her to take care of baby gradually, and encouraged family members to participate in baby care to overcome the obstacle of performing parental role. Nursing staff must understand the impact of losing a loved one on postpartum women. It is recommended that to provide the relevant education and training to help the nursing staff to enhance their cultural sensitivity on different religions and customs; and recognize the grief counseling on death among different religions.