妊娠劇吐婦女之生活經驗

Lived Experience of Women with Hyperemesis Gravidarum

鄭惠雯(Hui-Wen Cheng) ； 周汎澔(Fan-Hao Chou)

《實證護理》 4卷1期 (2008/03) Pp. 31-41

https://doi.org/10.6225/JEBN.4.1.31

摘要

本研究之目的在透過當事人的角度，深入瞭解妊娠劇吐婦女之生活經驗。研究設計採現象學研究法，以立意取樣，於南部兩家醫學中心收案，與十一位經醫師診斷為妊娠劇吐且無內科合併症之婦女，共進行15次一對一的深度訪談，以獲取她們的主觀經驗；訪談資料以Colaizzi (1978)分析法加以分析歸納，結果呈現出妊娠劇吐婦女之生活經驗涵蓋六個範疇：身心煎熬的過往、喜悅的失落、孤立與支持、比較與印證、與妊娠劇吐同在及雨過天晴的未來。透過研究發現，進一步形構妊娠劇吐婦女自我調適的循環模式，對妊娠劇吐婦女的生活經驗本質有更深入的瞭解；此具有本土化之實務與學術價值的研究成果，可協助健康專業人員提供適切之醫護照護措施的具體參考，使得在提升孕婦之生活品質的同時，也提升健康照護品質。

關鍵字

妊娠劇吐 ； 生活經驗 ； 現象學研究 ； 質性研究

並列摘要

The purpose of this study was to thoroughly understand, from their own perspective, the daily life experience of expectant mothers who suffered from hyperemesis gravidarum. A phenomenology method with purposive sampling was used. Participants were recruited from two medical centers in southern Taiwan. The researcher conducted 15 one-to-one, in-depth interviews with 11 expectant mothers who had been diagnosed with hyperemesis gravidarum without medical complications. The transcripts of the interview data were analyzed using Colaizzi's (1978) phenomenological methodology. Six categories emerged from the interview data, including: physical and psychological suffering in the past; sense of loss of happiness; isolation and support, comparison and confirmation, suffering hyperemesis gravidarum and having a bright future. A recycling model of self-regulation for women with hyperemesis gravidarum was constructed through the findings of this study. It provides more understanding of the nature of the experience of these women and could help health professionals to offer appropriate care. When the life quality of expectant mothers is improved, the quality of health care is also raised.

並列關鍵字

hyperemesis gravidarum ； lived experience ； phenomenology ； qualitative research