自然産之第二胎産婦的生産經驗

The Lived Experience of Secondipara in Childbirth

鍾芬芳(Fen-Fang Chung) ； 余玉眉(Yu-Mei (Yu) Chao)

《護理研究》 9卷1期 (2001/02) Pp. 65-75

https://doi.org/10.7081/NR.200102.0065

摘要

本研究屬質性研究，旨在以産婦的觀點，深入了解第二胎産婦於生産過程的曆程感受，及在面對這些感受時是如何因應的。採立意取樣法，共收集十位正常分娩之第二胎産婦的資料。在正式收集資料前，研究者以參與性觀察者的角色，以主護護理人員身份，於産婦入院待産至産後初期間提供人護理照顧，並同時觀察第二胎産婦這段期間的行爲反應，於産後8-24小時透過一次一小時的深度訪談收集資料。訪談內容以錄音記錄，再寫成行爲過程記錄，並以內容分析法進行語言資料的分析。結果顯示第二胎産婦生産的曆程感受，可歸納爲：對生産狀況的不確定、面臨身體界面完整性再受破壞的成脅、受困於陣痛的煎熬、瀕臨喪失對身體功能的控制、生産過程與預期不相吻合、如釋重負的完滿感、體認新的自我。而其衍生的因應行爲，可歸納爲：嘗磨工期角認並掌握自身生産狀況、竭力促進産程、努力裝備及維護自我、自我強化拼命力撐、努力嚐試維持控制、慎重確認新生兒健康狀況、回顧統合生産經驗。研究結果可供臨床護理人員於提供第二胎産婦産時護理參攷。

關鍵字

第二胎産婦 ； 生産 ； 經驗 ； 因應行爲 ； 質性研究

並列摘要

The purpose of this qualitative study was to explore the lived experience of secondipara and to understand the coping behavior dealing with these situations during the childbirth period. The researcher selected ten subjects by purposive sampling. During the course of labor, delivery and postpartum, the researcher served as a care-giver and nurse-participant observer. Data were collected by conducting one-hour in-depth interview, 8-24 hours after delivery. The verbal and non-verbal behavior expressed by the secondipara during interview were then recorded in a narrative process-recording. By means of content analysis, the verbal behavior of subjects was systematically analyzed and categoried. The results show that the lived experience of the secondipara can be categorized as follows: (1) sense of uncertainty about childbirth conditions; (2) threat to the sense of body boundary intactness; (3) trapped within bodily gird due to labor pain; (4) on the brink of losing control of body functions; (5) sense of mis-match about childbirth process; (6) achieving life satisfaction; (7) sense of becoming a new self. The coping behaviors expressed by these women can be categorized as follows: (l) trying to confirm and manage their own childbirth conditions; (2) striving to improve the process of labor and delivery; (3) engaging in equipping and maintaining self; (4) sticking it out by self-empowerment; (5) endeavoring to keep a sense of control; (6) establishing knowledge about the health condition of the newborn; (7) reviewing and integrating childbirth experience into self as a secondipara mother. The result of this study can be used as new knowledge and references for nurses in their actual care of women who are becoming mothers a second time.

並列關鍵字

secondipara ； childbirth ； lived experience ； coping behavior ； qualitative study

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