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| 題 名 | 照顧一個胰島素依賴型糖尿病經產婦的家庭--以家庭為中心的護理=Family centered Nursing Approach Experience of Nursing of the Family of Multipara with IDDM |
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| 作 者 | 胡雅玲; | 書刊名 | 耕莘學報 |
| 卷 期 | 3 2005.06[民94.06] |
| 頁 次 | 頁31-41 |
| 分類號 | 429.5 |
| 關鍵詞 | 經產婦; 家庭壓力; 家庭護理; Multipara; Famialy stress; Family nurisng; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 對產婦而言,產褥期是一段過渡時期。這一段期間,婦女必須面對生產過後身體的變化、母育角色的改變以及經濟與社會支持的需要。本篇報告運用以家庭為中心的護理理念,護理一個患有見胰島素依賴型糖尿病 (IDDM) 經產婦的家庭。採臨床田野研究法收集資料,並於個案生產後的第一天開始照護,共照護三天。照護對象為經產婦家庭,包括此位經產婦及其家庭成員,並在產後出院進行5次家庭訪視及5次電訪,完成資料收集。研究者從個案的家庭發展、家庭結構、家庭功能等三方面做家庭評估。從護理過程中,發現此位經產婦家庭的家庭壓力包括:新成員 (新生兒) 的加入、新生兒生病住院、手足競爭、健康處理方式不一致。經由運用家庭支持系統、整合新的家庭成員、使用醫院之外在資源及經由研究者提供護理措施,使得家庭重新回復至家庭穩定狀態,進而使得個案家庭順利渡過此一壓力事件。 |
| 英文摘要 | For a pregnant woman, the postpartum is a transitional period. In this period, a woman must face the change of her body and of the mother’s role, the need of social and economic supports. In this paper, the investigator reports the experience about the nursing of a multipara with insulin-dependent diabetes mellitus (IDDM) and her family by means of the family-centered nursing concept. The clinical field investigation method was used and the nursing care began from the first day after successful delivery. The subjects of this investigation were the mother and her family, including five visits at her home and another 5 visits by telephone for the collection of all information after the mother discharged home. The investigator did the comprehensive family evaluation from the developmental, structural and functional aspects of the family. This study found that the sources of the family stress of this multipara included the coming of the new baby, the hospitalization of the sick newborn, the competition between the newborn and her 4-year-old daughter, and the different concept about the management of health between this mother and her husband. The use of the family support system, integration of new member structure of this family, the nursing care provided by non-hospital resource, and the nursing provided by the investigator made this family smoothly resolve this stressful event and back to the steady state without significant stress. |
本系統中英文摘要資訊取自各篇刊載內容。