GEBELİĞİN TIBBİ TERMİNASYONU: HEMŞİRELİK DESTEK PROGRAMI ÖRNEĞİ

Meltem Mecdi Kaydirak, Ergül Aslan
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Abstract

Loss of pregnancy is a life crisis with bio-psycho-social and spiritual aspects which affect the mother and other family members. Especially feticide in pregnant women who exceeded viability limit is a backbreaking situation for the mother. The loss is not limited to the loss a baby for the family, it also causes hopelessness and disappointment towards future. Termination of pregnancy process contains various difficulties in relation to pregnant woman’s coping with and adapting to anxiety, fear based on lack of information and the difficulties during medical termination decision. In addition, there is a need for physical (pain, bleeding, nausea, vomiting etc.) and spiritual (anxiety, fear, grief etc.) care that should be met after the labour of the woman. Care needs of the family that suffered a loss should be determined and care should be provided by a professional team. When solving the medical problems identified, the nurse cooperates with multidisciplinary or interdisciplinary healthcare professionals and assumes coordinator role in addition to her role as caregiver. The aim of this review is to definition a termination of pregnancy process, nursing care of termination of pregnancy women as well as an attempt to attract attention to the necessity of using the nursing models and to enable the spread of their usage by explaining the utilization of “Roy’s Adaptation Model” with a sample.
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通用类型终止:通用DEST程序
流产是一种影响母亲和其他家庭成员的生物、心理、社会和精神方面的生命危机。特别是对超过生存能力限制的孕妇进行堕胎,对母亲来说是一种非常痛苦的情况。这种损失不仅仅是家庭失去一个孩子,它还会导致对未来的绝望和失望。终止妊娠过程中存在各种困难,包括孕妇应对和适应因缺乏信息而产生的焦虑、恐惧以及在作出医疗终止决定时遇到的困难。此外,还有生理(疼痛、出血、恶心、呕吐等)和精神(焦虑、恐惧、悲伤等)方面的护理需要在妇女分娩后得到满足。应确定遭受损失的家庭的护理需求,并由专业团队提供护理。在解决确定的医疗问题时,护士与多学科或跨学科的医疗保健专业人员合作,除了担任照顾者的角色外,还承担协调者的角色。本综述的目的是定义终止妊娠过程,终止妊娠妇女的护理,并试图通过一个样本解释“罗伊适应模型”的使用,引起人们对使用护理模型的必要性的关注,并使其使用得到推广。
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32 weeks
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