照顧一位早產兒支氣管肺發育不全之護理經驗

Nursing Experience Caring for a Premature Infant With Bronchopulmonary Dysplasia

本文描述協助26+2週早產兒父母因個案支氣管肺發育不全，對於返家後需持續使用呼吸器且合併有餵食困難感到緊張焦慮之護理經驗。於2021年3月21日至2021年6月1日，經由觀察、會談、臨床直接照護、病歷資料查閱及出院準備服務等方式收集相關資料，進行整體性護理評估，確認主要的健康問題：氣體交換障礙、低效性嬰兒哺餵型態、照顧者角色緊張。鼓勵父母參與照護活動，擬訂個別出院學習計畫，提供相關衛教影片及示範沐浴、急救、背部扣擊、抽痰、口腔復健及餵食等照護技巧並回覆示教，協助減輕父母焦慮，運用袋鼠護理，採舒適擺位及教導安撫技巧以穩定個案情緒，增加親子關係連結，適時給予心理支持，提升育兒能力與信心。建議臨床照護可依需求提供個別化照顧服務，採取以家庭為中心並同時評估家庭成員互動關係，及早做好出院後準備，以獲得妥善的持續性照護。

A nursing experience supporting parents experiencing anxiety related to their 26+2 weeks preterm infant on continued ventilator assistance at home due to bronchopulmonary dysplasia is described in this article. Data were collected from March 21st to June 1st, 2021 via observation, interviews, clinical care, medical record reviews, and discharge preparation services. A holistic nursing assessment identified the main health issues as: gas exchange disorder, inefficient infant feeding patterns, and caregiver role stress. The parents were encouraged to participate in care activities, create individualized discharge plans, and view health education videos and caregiving skill demonstrations. Kangaroo care, comfortable positioning and soothing techniques were used to stabilize the emotions of the infant and to strengthen the parent-child bond. Psychological support was provided to alleviate parental anxiety and to enhance parenting ability and confidence. This experience supports the importance of tailoring clinical care to individual needs, adopting a family-centered approach, assessing family interactions, and making early preparations to obtain appropriate continuous care after discharge to ensure proper continuum of care.