頁籤選單縮合
題名 | 一位腱膜下出血新生兒及其家庭面臨死亡的護理經驗=Nursing Experience of an Infant with Subgaleal Hemorrhage and Helping the Family Members Deal with Death |
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作者姓名(中文) | 郭銘惠; 彭雪芳; 鄭雅慧; | 書刊名 | 榮總護理 |
卷期 | 29:4 2012.12[民101.12] |
頁次 | 頁351-357 |
分類號 | 419.75 |
關鍵詞 | 腱膜下出血; 新生兒安寧緩和醫療; 周產期失落與哀傷; Subgaleal hemorrhage; Neonatal palliative care; Perinatal loss and grief; |
語文 | 中文(Chinese) |
中文摘要 | 本文為照護一位腱膜下出血引發休克之新生兒及其家庭面臨死亡的護理經驗,筆者利用觀察、會談、實際照護及與家屬互動,並運用Gordon十一項功能性健康型態評估,確立個案及其家庭有高危險性傷害/與顱內出血、血小板不足有關;潛在危險性父母-嬰兒依附關係改變/非預期性住院、與嬰兒分離;預期性哀傷(父母)/感受到即將失去孩子等健康問題。護理過程中以新生兒安寧緩和療護的照護理念,結合醫療團隊,依個案病情變化,不斷與案父母討論、溝通,使他們能逐漸調整及面對孩子病況的變化,同時藉由周產期哀傷的照護原則,陪伴案父母渡過個案死亡的歷程。期望藉由此護理經驗之分享,提供兒科護理人員臨床照顧類似病人之參考。 |
英文摘要 | This article describes the nursing care experience of an infant with hemorrhagic shock induced by subgaleal hemorrhage. The nursing care comprised of the application of Gordon's 11 health functions to assess the patient and the family members through direct nursing, observation, interview with family members, and physical assessment. Three nursing problems were identified: (1)High risk of injury, (2)Potentially dangerous parent-infant attachment, and (3)Expectations of sorrow. Based on palliative care guide and together with the medical team, the nursing process provided continuous discussion and communication to the patient's parents, so that they can gradually adjust and face the changes of disease progression. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。