照顧一位不孕症孕婦 罹患急性闌尾炎 抉擇終止妊娠之護理經驗.

The aim of this article is to describe a nursing process of an infertile woman eight weeks into pregnancy after multiple artificial inseminations facing decision to terminate pregnancy due to acute appendicitis and grief and loss as result of the decision. The Nursing period was from April 18 to 27, 2015. The author conducted systematic evaluation with Roy's adaptation model via direct care, meetings, and phone interviews, and confirmed that the patient had hyperthermia, acute pain, grief, and decisional conflict. During the nursing period, the author provided individual physiological care, and coordinated with the medical team to hold a family meeting to provide medical information and instructions to assist the patient in facing the decision of pregnancy termination. The author also assisted the patient to accept the fact of her loss and overcome the grief reaction from pregnancy termination through listening, companionship, psychological support, and religion and spiritual solace. This article can serve as a reference for clinical nurses to improve the quality of professional care. [ABSTRACT FROM AUTHOR]