澳門非自願中斷妊娠婦女的心路歷程與照護需求

A phenomenological research on women's psychological changes and care needs of unintended pregnancy loss in Macau

郭慧雯(Wai Man Kuok) ； 馮艷霞(Im Ha Fong) ； 翁美芳(Mei Fong Iong) ； 洪麗姬(Lai Kei Hong) ； 林淑琼(Soc Keng Lam) ； 陳頌儀(Chung Yee Chan)

《澳門護理雜誌》 15卷1期 (2016/06) Pp. 15-19

摘要

目的：探討澳門非自願中斷妊娠婦女得悉知需中斷妊娠後的心理反應，及其照護需求。方法：採質性描述性現象學研究方法，對10 位流產婦女作半結構式深度訪談，以Colaizzi 分析她們流產期間的感受。結果：她們希望瞭解致胎停育的原因及預防方法，部份自責甚至崩潰，更對日後懷孕心生恐懼，認為醫療程式有改善空間。結論：醫護人員應尊重病人權益，避免醫療事故，適時提供過渡服務，完善社區服務接鏈及加強推廣相關醫療資訊，進一步完善本澳婦產科服務。

關鍵字

中斷妊娠 ； 流產 ； 心理反應 ； 照顧支援需求 ； 現象學

並列摘要

Objective: To explore the psychological changes and care needs of women during the unexpected termination of their pregnancy. Methods: Qualitative phenomenological methodology was conducted with ten women of unintended pregnancy loss via semi-structured in-depth interviews. By employing the Colaizzi analysis technique to transcribe, collate and analyze the collected data. Results: The reason and the prevention of the pregnancy loss are most concerned. Self condemned and break-down feelings emerged among a portion of the interviewed women. They also feared of pregnancy. Improvement on the medical services and the related procedures is generally requested. As a result, conclusions were identified from the three perspectives: psychological responses, effects of pregnancy loss and needs of care support. Conclusions: Health care providers should strengthen the education of the pregnancy information to the public. Deeper understanding and cognition of patient's rights would help avoiding medical malpractice. Timely abortion transition services and continuous improvement on community health services are recommended. And thus, the Obstetric and Gynecological Services in Macau can be further advanced.

並列關鍵字

termination of pregnancy ； abortion ； psychological responses ； needs of care support ； phenomenology