剖腹產後併發腸阻塞之產婦其護理經驗

The Nursing Experience of a puerpera with Intestinal Obstruction after Caesarean Section

本文描述照護一位剖腹產後併發腸阻塞經產婦之護理經驗。在2020年10月11日至10月17日護理期間，以Gordon十一項健康功能評估為指引，藉由觀察家庭互動、會談、身體評估及病歷查閱收集資料，確立健康問題有急性疼痛、胃腸能動性失常、無效性母乳哺餵等問題。照護過程中，運用放鬆技巧緩解傷口疼痛，利用咀嚼口香糖改善腸阻塞症狀，藉由嬰兒模型及實際示範教導母嬰分離的哺餵技巧，使產婦順利度過產後恢復期。護理措施介入後，產婦傷口疼痛及腸阻塞情形有緩解，與新生兒中重度病房協調，使產婦能夠執行雙胞胎親餵，增加對母乳哺餵的滿意度。經此照護經驗，筆者建議剖腹產後咀嚼口香糖促進腸蠕動以少腸阻塞發生率，可作為術後常規衛教指導。

This article describes the nursing experience of caring a postpartum woman with symptoms of intestinal obstruction following a Caesarean section. During the nursing care provided from October 11 to October 17, 2020, Gordon's 11 Functional Health Patterns were used as a guide for assessment. Data were collected through family interaction observation, interviews, physical assessments, and medical record reviews. The identified health problems included acute pain, gastrointestinal motility disorders, and ineffective breastfeeding. To address these issues, relaxation techniques were employed to alleviate postoperative wound pain. Chewing gum was recommended to relieve discomfort from intestinal obstruction, and breastfeeding skills were taught using baby models to support the mother through her recovery. The interventions led to reduced postoperative wound pain and alleviated intestinal obstruction. Coordination with the neonatal unit allowed the mother to engage in tandem breastfeeding, enhancing her satisfaction with the breastfeeding process. Based on this experience, the author recommends the use of chewing gum post-Caesarean section to improve intestinal motility and reduce the risk of intestinal obstruction. This approach should be included as a routine part of health education for postpartum women.