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新臺北護理期刊

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篇名 一位經歷嬰兒死亡母親的照護經驗
卷期 14:2
並列篇名 An Experience of Caring for a Mother who has been through the Loss of a Baby
作者 莊佳惠簡慧琪
頁次 069-076
關鍵字 喪嬰母親悲傷依附關係A mother losing a babyGriefMother-infant attachment
出刊日期 201209

中文摘要

經歷婴兒死亡的母親,其所引發之哀傷的至慟經驗,對母親的心理影響甚鉅,其悲傷可能延續數年甚至一生。 筆者於2009年9月16曰擔任值班護理長時,於急診照護此經歷婴兒死亡的母親,照護個案期間爲9月16至19曰及9 月22曰,從急救到診斷死亡到安葬的過程中,透過同理、陪伴、傾聽輿支持等照護行動,包含協助婴兒有尊嚴的 死亡:輿專業人員溝通爭取不急救輿不解剖,維持遺體清潔完整,讓家人能留下回憶。於親人部分協助渡過哀傷: 安排家人輿婴兒有道別的機會,協助婴兒留下生命的記憶,讓家人輿孩子能有完整的生命連結,幫助母親轉換依 附關係。期望藉此報告,讓護理人員能了解喪婴母親及其家人的心理歷程,在陪伴關懷中,幫助他們經驗悲傷並 減少喪婴的痛苦。

英文摘要

Loss of a baby is devastating. The psychological effects on the mother can last years or even a lifetime. A mother who had been through the loss of a baby came to the emergency room on the 16th of September. The author took care of the mother from the 16th to 19th and 22nd of September. During the whole process from the emergency room to the funeral, the author cared for the mother with compassion, companionship and support. In addition, the author assisted in providing a “compassionate death” for the baby, i.e. advocating for no CPR and no autopsy to keep the body intact and to leave a good memory for the family. Furthermore, the family was aided through the grieving and mourning processes: arrangements were made for the family to say goodbye to the baby and to take photos of the baby to provide lasting memories, and assistance was given for transforming the mother-infant attachment. The author hopes this report can help nurses understand how the mother and family go through the grieving process and learned how to show their compassion, companionship and caring.

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