懷有唐氏症胎兒的初孕婦接受終止妊娠過程的生活處境

Life Situations of Primiparous Women Receiving Termination of Pregnancy due to Fetal Down Syndrome

陳淑齡(Shun-Ling Chen) ； 余玉眉(Yu-Mei (Yu)Chao)

《護理研究》 8卷2期 (2000/04) Pp. 177-189

https://doi.org/10.7081/NR.200004.0177

摘要

本研究目的是探討初孕婦蹤獲悉腹中的胎兒爲唐氏症時的診斷到接受治療性流産過程至産後檢查爲止，這段期間所經歷的生活處境。採田野研究收集資料，研究者以觀察者即參與者的方式進行，共完成收集四位孕婦的生活以驗資料。與每一位孕婦共接觸十二次，共完成四十八篇行爲過程記錄，再以內容分析法分析、歸類、進行資料處理。結果發現其生活處境可歸納爲七類：歡喜的孕育過程突受重挫、自我形像瀕臨瓦解、無奈的接受孕育過程提前結束、硬生生截斷與胎兒生命的聯結、處於懷抱空虛與哀傷的境地、陷入坐困愁城的時空裡、社會接觸的格格不入。護理人員在照顧這群終止妊娠孕婦時，本研究結果可做爲她們提供關懷與照顧的參考。

關鍵字

唐氏症 ； 初孕婦 ； 終止妊娠 ； 生活處境

並列摘要

The purpose of this study was to explore life situations of primiparous women who were diagnosed and informed of having abnormal pregnancy with Down syndrome, during the course of receiving termination of pregnancy and one month postpartum. This qualitative study was designed by adopting the field method with observer as participant approach to collect the data. Four primiparous women were invited into this study. There was a total of 12 contacts for each subject. Soon after the interviews and field observation, the researcher wrote down the narrative process recordings; the data was analyzed by content analysis. The results found that seven themes on subjects life situations were inductively identified as: being frustrated by losing the joy of pregnancy suddenly, facing disintegrated self-image, accepting the termination of pregnancy helplessly, severing the binding-in-relation between mother and unborn baby, unwillingness, falling into emptiness and grief situation, trapped in the deep feeling of sadness, sense of inappropriatness in social contact. The findings of this study can be used as a reference for nurses when they are taking care of these women receiving termination due to Down syndrome, and provide timely nursing care to these women.

並列關鍵字

Down syndrome ； primiparous women ； termination of pregnancy ； life situation

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