RN, M.Sc. USF Planície, ARS Alentejo, Évora. Universidade Católica Portuguesa. Lisbon, Portugal. Email:
RN, Ph.D. Comprehensive Health Research Centre (CHRC). Universidade de Évora, Nursing Department.Évora, Portugal. Email:
Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e05.
To develop a care plan focused on assisting a puerperal woman who decides to feed their child through breastfeeding on the contralateral breast.
A case study conducted with a 36-year-old primiparous woman who underwent tumorectomy and left axillary emptying, chemotherapy and radiotherapy 8 years ago. The data were collected in the Nursing process, with initial assessment using the Marjory Gordon functional health patterns. The care plan used the NANDA-I, NIC and NOC taxonomies.
Three diagnoses were identified: [00208] Readiness for Enhanced Childbearing Process, [00106] Readiness for Enhanced Breastfeeding and [00167] Readiness for Enhanced Self-Concept. The indicators were evaluated in the initial and later phase, with gains in the first two diagnoses. The third diagnosis proved to be partially sufficient, as it did not allow assessing the developmental and non-pathological self-image in the puerperium. In the puerperal phase, maternal roles are challenging and demanding. Nursing care contributed to the adaptation to breastfeeding in the contralateral breast and to the guarantee of adequate nutrition for the newborn. The childbearing process was strengthened. Breastfeeding is carried out with maternal satisfaction, good latch and normal weight evolution in the newborn.
The case study strengthened knowledge by addressing a little investigated theme. The NANDA-I taxonomy may need further study in the Self-perception domain, more specifically in the self-image reported during the pregnancy-puerperal phase.
制定一个以协助哺乳期妇女用对侧乳房进行母乳喂养为重点的护理计划。
对一名 36 岁的初产妇进行了病例研究，该妇女 8 年前接受了乳房肿瘤切除术和左侧腋窝清扫术、化疗和放疗。数据是在护理过程中收集的，初始评估使用了 Marjory Gordon 功能健康模式。护理计划使用了 NANDA-I、NIC 和 NOC 分类法。
确定了三个诊断：[00208]增强的生育过程准备度、[00106]增强的母乳喂养准备度和[00167]增强的自我概念准备度。指标在初始和后期阶段进行了评估，前两个诊断有了改善。第三个诊断被证明是部分充足的，因为它不能评估哺乳期的发展和非病理性自我形象。在产褥期，母亲的角色具有挑战性和需求性。护理有助于适应对侧乳房的母乳喂养，并为新生儿提供充足的营养。生育过程得到了加强。母乳喂养进行得很顺利，新生儿的衔乳情况良好，体重正常增长。
该病例研究通过解决一个研究较少的主题，加强了知识。NANDA-I 分类法可能需要在自我感知领域进行进一步研究，特别是在怀孕-产褥期报告的自我形象方面。
