高血清胎兒蛋白孕婦接受羊膜穿刺術前後之主觀經驗

Subjective Experience of Women with High Maternal Serum AFP Concentration Before and After Amniocentesis

楊玉娥(Yu-O Yang)

《慈濟醫學雜誌》 7卷3期 (1995/09) Pp. 195-202

https://doi.org/10.6440/TZUCMJ.199509.0195

摘要

科技發達宰制了人的心靈，醫療活動也忽視了病人的心裡感受。本研究旨在探討因高血清胎兒蛋白孕婦接受羊膜穿刺術之心理反應。以質性研究之深度訪談法(in depth interview)，在南部某一所教學醫院取十五位因高血清胎兒蛋白而接受羊膜穿刺術之孕婦，由其敘述的主觀經驗，分別由接受檢查之前、檢查後、等待結果期間及獲知結果之後探討其主觀經驗。
本研究顯示接受羊膜穿刺術孕婦的主觀經驗有：1.在接受檢查之前：為人父母的希望與失望之內在衝突，試著解除困惑不解及尋求他人意見採取抉擇。2.檢查後的反應有：對檢查結果之憂慮，對胎兒安全之愛慮及對流產之憂慮。3.在等待結果期間之反應有：孤獨徬徨的等待，母子情感聯結(MaternalBonding)停滯及負向的懷孕態度。4.獲知結果之後則是對檢查結果之不確定感。
本研究結果提醒醫療人員在協助孕婦接受羊膜穿剌術檢查之前及檢查之後，如何提供支持及協助之參考。

關鍵字

主觀經驗 ； 羊膜穿刺

並列摘要

It has long been criticized that the medical that the medical behavior of modern times neglects the patien’s psychology experience. The purpose of this study was to explore the subjective experience of women who had high maternal serum AFP levels and had had amniocentesis. This study was conducted by qualitative method. The result shows that, according to the procedures of the examination, the subjective experience of the women who underwent amniocentesis, could be inductively categorized as the following: (1) Prior to amniocentesis: the conflict between hope and hopelessness to be the fetus’ parents, the attempt to relieve from the fear and puzzle condition to the fetus’ normality and the seeking of others’ opinion in order to dicide for the examination. (2) Post amniocentesis: worring about the result of the examination and the safty of the fetus. (3) While waiting for the test result: the feeling of lonliness without support, the stagnation of maternal child psychological bounding and the negative attitude toward pregnany. (4) After the revelation of the result: a sense of uncertainty. The results implicated the necessity to provide prior and post counseling for the concerned pregnant women undergoing amniocentesis.

並列關鍵字

subjective experience ； aminiocentesis