辅助生殖技术早产婴儿及其家庭护理经验

Ruei-Yu Tsai, Chia-Shing Wang
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摘要

目前,大多数选择辅助生殖技术(ART)的夫妇已经等待并经历了自然受孕的失望。在抗逆转录病毒技术的帮助下,她们终于能够“怀孕到足月”。这对第一次为人父母的人来说太棒了。本病例报告涉及一名妇女,她在30+5周时使用抗逆转录病毒治疗及其家庭护理经验分娩了重达1520克的早产儿。在2016年10月23日至2016年12月9日的护理期间,通过系统评估、临床观察、家长访谈等方式收集病例资料。问题包括气体交换障碍、照顾者角色紧张和亲子依恋障碍的潜在风险。除了提供适当的医疗护理以维持稳定的生命体征外,我们希望通过完整的护理评估和全面的发育护理来减少合并症的发生。我们也试图通过积极主动的护理,提供相关的医疗信息和心理支持,建立信任,减轻父母的焦虑和压力。生命体征稳定的“袋鼠式护理”的表现增强了亲子依恋和对婴儿持续护理的参与感。这加强了母亲在照顾角色中的动力和自信,增强了母亲的成就感,促进了婴儿回家后的成长发育。婴儿出院前体重达到2430克。出院前,这位母亲至少掌握了两项护理技能,她的眼睛也不再因哭泣而发红。我们希望亲子依恋得到很好的发展,希望“袋鼠式护理”能帮助母亲回国后以积极的态度面对未来。本文可为护理人员提高早产儿护理质量提供参考。
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Premature Babies Delivered by Assisted Reproductive Technology and Their Family Care Experience
Currently, the majority of couples who choose assisted reproductive technology (ART) have waited for and experienced the disappointment of natural conception. With the assistance of ART, they are finally able to “carry a baby to term.” This is wonderful for first-time parents. This case report involves a woman who delivered a premature baby weighing 1,520 g at 30+5 weeks using ART and her family care experience. During the period of care from October 23, 2016 to December 9, 2016, data were collected on this case through systemic assessment, clinical observation, and parental interview. Problems including gas exchange disorder, caregiver role tension, and the potential risk of parent-child attachment disorder were identified. In addition to providing appropriate medical care to maintain stable vital signs, we hoped to reduce the occurrence of comorbidities through a complete nursing assessment and comprehensive developmental care. We also attempted to build trust and to reduce parental anxiety and stress by providing relevant medical information and psychological support through active and proactive nursing care. The performance of “kangaroo care” with stable vital signs enhances parent-child attachment and a sense of involvement in the ongoing care of the infant. This strengthens the mother’s motivation and self-confidence in her caregiving role, enhances her sense of accomplishment as a mother, and promotes the growth and development of the infant after returning home. The weight of the infant reached 2,430 g before discharge. Before discharge, the mother was able to cite at least two caregiving skills and her eyes were no longer red from sobbing. We hoped that the parent-child attachment was well developed and that “kangaroo care” will assist the mother to face the future with a positive attitude after returning home. This article can be used as reference for nursing practitioners to improve the quality of care for premature babies.
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