一位經人工協助生殖致多胞胎妊娠婦女於第一孕期的關注與適應行爲

The Concern and Adaptative Behaviors of a Multifetal Woman during the First Trimester of Assisted Reproduction

陳淑溫(S. W. Chan)

《護理雜誌》 43卷2期 (1996/06) Pp. 47-55

https://doi.org/10.6224/JN.43.2.47

摘要

本個案研究是探討一位經人工協助生殖多胞胎妊娠婦女於第一孕期的關注與適應行爲。係採田野研究法(field method)收集資料，並以內容分析法將所寫的行爲過程記錄加以分析、整理、歸類。結果發現該孕婦關注的內容包括對自身、胎兒及醫療措施三方面:自身方面又包括懷孕及健康狀況；醫療措施方面包括一般檢查治療及多胞胎妊娠處置。適應行爲則包括尋求確認行爲、調整行爲及情感調適行爲。其中尋求確認行爲又包括求證及認定行爲；調整行爲包括保守及配合行爲；情感適應行爲則包括交託、隔離、降低期望、一再重述等。

關鍵字

人工協助生殖 ； 多胞胎妊娠

並列摘要

This case study was conducted to explore the concern and adaptative behaviors of a multifetal woman during the first trimester of assisted reproduction. Data was collected through participant observation from the fourth week of the pregnancy to the twelfth week. Content analysis was used to analyse behavior records.
The findings revealed that the woman's concern behaviors were directed towards three aspects:the mother herself, the fetus, and medical management. Mother-related concerns included presumptive signs and positive signs of pregnancy, and physical functions of continuing the pregnancy to term. Fetus-related concerns included fetal number, gender, fetal growth, and health status. Medical management concerns included gencral examination and multifetal pregnancy management.
The woman's adaptative behaviors included:(1)affirmation-seeking behaviors,(2)accommodation behaviors,(3)affection adaptation behaviors. Affirmation-seeking behaviors are divided into proving and identifying behaviors. Accommodation behaviors are divided into conserving and complying behaviors. Affetion adaptation behaviors included reliance, isolation, lower expectation and repeat description.

並列關鍵字

assisted reproduction ； multifetal pregnancy