一位HIV帶原婦女產後初期所面臨之角色衝突及調適行為

Role Conflict and Coping Behaviors of a Puerpera Newly Diagnosed as an HIV Carrier

楊雅玲(Ya-Ling Yang) ； 鄧素文(Su-Wen Teng)

《護理研究》 4卷2期 (1996/06) Pp. 161-170

https://doi.org/10.7081/NR.199606.0161

摘要

本研究以田野研究法，於産婦住院接受剖腹産一週期間，將照顧産婦及新生兒過程中，與産婦會談的過程以敘述方式，寫成行爲過程記錄，包括其語言及非語言行爲，行計七篇，幷予內容分析法整理歸納。結果發現個案産後而對種種改變時，其角色衝突項目有三個類別：依賴性與獨立性角色選擇困擾、理想與實際角色表現衝突及面對先生與子女部需求的衝突，個案因應的調適行爲有：積極性與維持調適行為。角色調適過程中支持協助個案之參考團體有個案家庭支持體系、醫療團隊及社會資源。護理人員藉由關懷(caring)的理念與照護，陪同個案共同走過此一曆程後，深切體認出個案所處之困境與需求，幷再度肯定護理的意義與功能。

關鍵字

角色衝突 ； 調適行為 ； 參考團體

並列摘要

The purpose of this case study was to understand the role conflict and coping behaviors of a puerpera who was newly diagnosed as an HIV carrier transmitted from her husband. Data were collected through nursing process recording, and then analyzed with content analysis. The findings revealed that her life change induced changing role and conflict. All the data were analyzed and categorized into three aspects: (1) The dilemma between dependent and independent role taking. (2) The conflict between ideal and real role behaviors. (3) The conflict between her husband and children's needs. Her coping behaviors included: active management and maintaining action. Three reference groups including family support, network health team, and social support group supported her in facing and dealing with role conflict. During this period, the nurse served as an important agent in helping the mother to adapt to life and role changes in order to regain role competence.

並列關鍵字

role conflict ； coping behaviors ； reference group