一位妊娠期間感染SARS病人之護理經驗

A Nursing Experience of Caring for a Patient with Severe Acute Respiratory Syndrome(SARS) During Pregnancy

本文是敘述ㄧ位於初次懷孕過程中感染嚴重急性呼吸道症候群(severe acute respiratory syndrome，SARS)的醫療工作人員，因傳染性疾病、懷孕及被隔離所引起的生理、心理、社會及靈性等層面的問題與其護理。於92年5月18日至92年6月19日照護期間，透過會談、觀察、身體評估等方式收集資料，Gordon十ㄧ項功能性健康型態評估，發現個案主要的健康問題有：感染、氣體交換障礙、焦慮、抉擇衝突。因病人係同為醫療工作者，故在護理過程中筆者以同理心、溫馨、真誠的態度，與個案在很短的時間內，即建立良好的治療性關係。透過醫療團隊的合作，以護理專業的知識，協助處理生理的不適，加上耐心傾聽、經驗分享、提供資訊來減輕心理的疑慮，使其能在護理人員的協助及支持下，安全度過急性期的不適，決定是否中止妊娠的衝突，並了解本身病情與對胎兒的影響，減輕焦慮。妊娠期間感染，實屬罕見的案例，且個案所呈現之健康問題與一般傳染性個案不同，故護理人員在醫療照護上扮演著極重要的角色。

This article was based on a case of severe acute respiratory syndrome (SARS) of a health care worker during her first pregnancy. It mainly described the patient's physical, psychological, and spiritual problems caused by the infectious disease, pregnancy, and isolation, where the nursing methods were used. During the caring period, from May 18, 2003 to June 19, 2003, we collected the information through interviews , clinical observation, and physical assessment. According to the eleven criteria of Gordon, the patient had an infection, respiratory failure, anxiety and self-conflict. However, she built a good patient-nurse relationship with the author in a short period of time. In collaboration with the health care team and professional nursing knowledge, the patient's physical illness was eased while listening, experience sharing, and up-to-date information providing were mental cures for her. With SARS during pregnancy, the case was rare and showed different problems. Nurses played an important role in the caring.