Implied Meanings and Measures of Pregnant Women's Selecting Specified Time for Planned Cesarean Section

計畫性剖腹產孕婦選擇時間剖腹產之意義與對策

徐宗福(Tsung-Fu Hsu)

《醫務管理期刊》 8卷3期 (2007/09) Pp. 261-280

https://doi.org/10.6174/JHM2007.8(3).261

摘要

目的：本研究探討計畫性剖腹產孕婦選擇時辰剖腹產的決策者、選擇時辰的方式與意義，及瞭解當錯失剖腹產時辰，孕婦對醫療服務滿意情形及其選擇替代方法。
方法：研究方法爲在某區域教學醫院由94年5月至95年8月問，採用立意取樣與結構式訪談表，選擇134位計畫性剖腹產孕婦在住院當天手術前於產科病房訪談。
結果：孕婦對選擇時辰剖腹產，48.5%孕婦以丈夫爲決策者，38.8%以請問神明做參照，47.0%選擇時辰的涵義爲祈待母子平安。選擇時辰剖腹產之方式，在孕婦的年齡、種族、教育、家庭收入、胎次、主要診斷及決策者之變項，在選擇「農民曆」、「星座」及「請問神明」三組間有顯著差異。選擇時辰剖腹產的涵義，在孕婦的年齡、種族、教育、職業、家庭收入、胎次、及主要診斷之變項，在「祈待母子平安」、「鋪排命運秘局」及「母情關懷與願望」三組間有顯著差異。當孕婦錯失剖腹產時辰，75.4%孕婦對醫療服務不滿意，在將來爲其孩子尋求取個好名字做爲錯失剖腹產時辰之替代方法。
結論：孕婦選擇時辰剖腹產的決策過程中，在父系社會中以丈夫爲主要角色、以請問神明做參照與其涵義爲祈待母子平安，是非常普遍的民族習俗。醫療專業人員瞭解研究結果將有助於提供適當的醫療服務給其顧客，以滿足她們的需求。

關鍵字

決策 ； 計畫性剖腹產 ； 特定時辰

並列摘要

Objectives: This study were to investigate the main decision makers, ways, and implied meanings of pregnant women's selecting time for planned cesarean section, and to understand pregnant women's satisfaction with care and their alternative measures for missing specified time in planned cesarean section.
Methods: Adopting purposive sampling and a structured interview schedule, the researcher interviewed 134 pregnant women who had specified time for planned cesarean section in the obstetric ward on the first day of the participant's admission and before the operation at one regional teaching hospital from May 2005 to August 2006.
Results: In selecting specified time for planned cesarean section, 48.5% of pregnant women thought of their husbands as decision makers, 38.8% consulted with gods as the reference to decision-making, and 47.0% thought that the implied meaning of selecting specified time was to pray for the safety of mother and baby. As to the ways of selecting specified time for cesarean section, age, ethnicity, education, family income, parity, primary diagnosis of participants, and their decision makers were significantly different among the study groups of selecting ”farmer's almanac,” ”astrology,” and ”gods” respectively. Regarding the implied meaning of selecting specified time, age, ethnicity, education, occupation, family income, parity, and primary diagnosis of participants were significantly different among the study groups of ”pray for the safety of the mother and baby,” ”pre-set destiny for the child,” and ”concern and wishes of parents” respectively. In case of missing specified time for cesarean section, 75.4% of pregnant women expressed dissatisfaction with care and looked for a good name for their babies as an alternative measure in the coming days.
Conclusions: In the decision-making process of pregnant women's selecting specified time for planned cesarean section, the husband acting as the dominant role in patriarchal society, asking gods as the reference, and praying for the safety of mother and baby as the implied meaning of selecting specified time were very common folk customs. Understanding the results of this study will help health professionals to provide adequate healthcare services for their clients to cater to their needs.

並列關鍵字

decision making ； planned cesarean section ； specified time

參考文獻

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