一位卵巢過度刺激症候群患者的護理經驗

Nursing Experience of a Patient with Ovarian Hyperstuimulated Syndrome

本個案報告是描述一位接受輔助生殖科技治療的婦女，罹患卵巢過度刺激症候群的護理經驗。筆者在個案住院期間擔任主護護理師，並應用護理過程以系統性觀察及會談收集資料，以Gorden(1987)的11項功能性健康型態為理論架構進行護理評估，確立個案的健康問題。筆者藉由護理經驗深入瞭解罹患卵巢過度刺激症候群患者所面臨的生理、心理等方面的問題，發現個案在住院期間所發生的健康問題有低效性的呼吸型態、體液容積過量、及焦慮。由於筆者適時的介入，在護理過程中運用主動關懷及同理心，與個案建立信任的治療性關係，應用周詳的護理計畫，使其生理上的不適減至最低，心理上的壓力與衝擊，也能經由此種信任的治療性關係提供諮詢的機會，幫助個案面對及解決健康問題，同時增進個案與家屬的溝通，使家屬能陪伴個案渡過疾病不適期。最後筆者希望藉此護理經驗之分享，提供未來相關照護計畫的參考。This case study described the nursing experience in caring a woman who accepted the treatment of assisted reproductive technology and suffered from ovarian hyperstimulated syndrome (OHSS). The researcher worked as a primary nurse during the client's hospital stay and applied nursing process to collect the data by systematic observation and conversation. Gordon's (1987) 11-item functional health pattern was utilized as the theoretical framework for nursing assessment to assess the client's health problems. By the nursing experience of caring, the researcher deeply realized a woman with OHSS faced the problems of physical and psychological aspects. The health problems of the client found by the researcher were of ineffective breathing pattern, excess fluid volume, and anxiety. As a result of appropriate nursing intervention, through active caring with sympathy in nursing process, the treatment relationship of trust was built between the researcher and the client. Furthermore, the complete nursing care plans were applied and opportunities of counselling were provided to decrease client's physical discomfort and psychological impact. Due to the treatment relationship of trust, the client was helped to face and solve her health problems. Meanwhile, the author focused on increasing effective communication between the client and her family. The family could consequently accompany her to undergo this disease. Finally, this nursing experience is presented as an example for the reference of future care in similar situation.