本文旨運用音樂療法介入照顧一位24+1週極低體重早產兒併發壞死性腸炎之護理經驗，護理期間自2020年2月5日至6月2日，筆者採系統性評估，以生理、行為與家庭評估為主，透過直接護理、觀察、身體評估、與案父母會談等方式收集資料，確立護理問題有:「低效性呼吸型態」、「皮膚完整性受損」、「營養失衡：少於身體所需」以及「潛在危險性依附關係障礙」。照護期間運用音樂治療技巧，以穩定個案的生命徵象、緩解生理上不適感及促進成長，並鼓勵父母共同參與照護，教導父母腸造又照護技巧，如何自製早產兒造又袋，進而建立親子依附關係，並提供父母多項早產兒及腸造又等居家照護相關資訊，以減輕父母的焦慮情緒，增強照護信心。

This study presents a nursing experience involving the application of music therapy to care for a 24-week and 1-day extremely low birth weight preterm infant with concurrent necrotizing enterocolitis. The nursing period for this case extended from February 5, 2020, to June 2, 2020. The author conducted a systematic assessment, primarily focusing on physiological, behavioral, and family evaluations, and collected data through direct nursing care, observations, physical assessments, and discussions with the parents. The identified nursing issues during this period were: "inefficient respiratory patterns," "compromised skin integrity," "imbalance in nutrition: inadequate intake compared to body requirements," and "potential risk of attachment relationship disorder." Music therapy techniques were employed during the care period to stabilize the patient's vital signs, alleviate physiological discomfort, and promote growth. The involvement of the parents in shared care was encouraged through teaching them colostomy care skills and the creation of a premature infant colostomy bag to foster parent-child attachment. Additionally, comprehensive information regarding the home care of premature infants with colostomies was provided to the parents to alleviate anxiety and enhance their caregiving confidence.