以深度訪談探討歷經二次懷孕初期流產婦女經驗感受：病例報告

Study of the Women with Experience of the Second Early Pregnancy Loss by the In-depth Interview: A Case Report

廖翎聿(Line-Yu Liao)

《南臺灣醫學雜誌》 5卷1期 (2009/04) Pp. 36-41

https://doi.org/10.6726/MJST.200904_5(1).0007

摘要

本文是在描述歷經二次懷孕失敗已婚婦女之經驗感受。資料收集依半結構訪談大綱，進行深度訪談，每次會談時間為90分。在取得個案同意後錄音，於訪談結束後予以轉譯，並隨即完成逐字稿，共完成4篇。收集資料時間為2006年3月15日至2006年2006年4月20日止。採內容分析法，結果經驗感受包括（1）在生理方面：疼痛、食慾差、睡眠障礙。（2）在心理方面：期望的失落-怎麼又發生了、痛苦的經驗與回憶、憤怒的外射-拒看別人懷孕、拒聽小孩話題、自責與疲憊-都是我的錯、我累了、害怕再次流產。（3）在社會方面：經濟缺乏自主性。作者在與個案訪談過程中，了解個案在歷經二次懷孕失敗之內心感受，除給予支持、陪伴外，並期待透過本篇能提供臨床護理人員照護類似病患經驗分享。其次從訪談個案過程中，發現傳統民俗療法，是對於個案在走向正向態度是具相當影響因素，可作為護理人員在提供護理措施參考方向。

關鍵字

深度訪談 ； 懷孕初期流產 ； 經驗感受

並列摘要

The purpose of this qualitative study is to explore the second early pregnancy loss of women. Semi-structured interview outline and open-ended questions were used to conduct the in-depth interviews in the participants' homes. In addition to tape recording, the investigator was taking notes on the participants' non-verbal behaviors. Four interviews have been conducted from March 15 to April 20, 2006. Each interview has lasted 60 to 90 minutes. Three major senses of experiences have emerged from the content analysis. First, the physical sense included pain, bad appetites, and sleep disorder. Second, the psychological sense included expectation loss. Last, the social sense included economic dependence. During the interviews, we understood the women's experiences in two early pregnancy losses and offered support. Besides, we found the traditional folk therapy had significant influence on helping these women keep a positive attitude. The study can help the clinical nurses care for those who have the same experiences, and provide as reference to take nursing measures.

並列關鍵字

in-depth interview ； early pregnancy loss ； experience