英文摘要 |
This paper discusses the nursing experience of a 42-year-old woman who gave birth to a female infant naturally and underwent an unscheduled hysterectomy due to postpartum hemorrhage. The patient underwent an emergency hysterectomy without psychological preparation and suffered a huge physical and mental impact. In addition, as she became pregnant again after many years, she also felt frustration in breastfeeding, affecting her adaptation to the disease. These are the reasons for selecting this research case. During the nursing period from April 20 - 25, 2021, data were collected by observation, interview, physical evaluation, review of medical records, etc. According to Gordon’s 11 Functional Health Patterns Assessment, it was confirmed that the patient had health problems such as postoperative wound pain, body image changes, and ineffective breastfeeding. Individualized comfort care effectively relieved postoperative wound pain and physical discomfort. Pictures and leaflets were used to provide correct knowledge of hysterectomy and good social support for the patient to enable the patient to face the fact of hysterectomy and hold an attitude of positive life adaptations. Concerning breastfeeding, correct and individualized guidance was provided to enhance the positive feeling of the patient during breastfeeding, and resources such as support groups were provided to assist her family members to participate in breastfeeding to facilitate the patient’s successful breastfeeding. In urgent obstetric emergencies, the immediacy of informing puerperae about the treatment and management is limited, making puerperae face a huge psychological impact without warning after the operation. Therefore, it is suggested to provide formal doctor-patient talks as soon as possible after operation, actively provide all relevant information on the treatment, and enhance communication between doctors and patients to mitigate the psychological impact faced by puerperae. (Cheng Ching Medical Journal 2022; 18(2): 84-92) |