風雨同舟──產後腦中風個案家庭因應之經驗

Stand Together through Storm and Stress-Family Nursing Experience of Postpartum Stroke Patient

本文探討一位產後20天婦女，因梗塞型腦中風導致右側肢體偏癱，在面臨身體失能衝擊合併吞嚥困難下，對於母職角色的改變亦是無法接受，加上家庭支持系統薄弱，故筆者於2017年11月16日至12月14日護理期間，應用羅氏適應理論評估、觀察並收集資料，藉由護理獨特性和跨醫療團隊協助，得以喚醒個案及家庭成員疾病意識，以正向積極的態度面對產後腦中風帶來的角色改變，且順利重建親職角色，並提升家庭因應能力。期以本文護理經驗提供周產期或產褥期中風婦女臨床照護實務之經驗交流與參考。

This article described the experience of caring a 3-week-post-partum woman with sudden onset of acute infarction. Her motherhood was interrupted due to limited physical activity and difficulty in swallowing. However, without adequate support from her family, it was even harder for her to deal with physical disability and the change of her role of being a mother. Roy's adaptation theory was applied to evaluate, observe, and collect the information from November 16th to December 14th, 2017. To raise and increase their awareness of the disease, the medical team worked together for family stress-coping strategies and help them to face the role change caused by cerebrovascular accident in a positive way. With the help of individual nursing care and the assistance of medical team members, the case and her family rebuilt their role of parents and family coping ability was elevated. We expected the nursing experience could help clinical staffs to care prenatal or puerperium women with cerebrovascular accident.