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  • 學位論文

胎兒異常之孕婦於 第二孕期接受終止妊娠的生活經驗

The Lived Experience of Pregnant Women with Abnormal Fetus who received termination during the Second Trimester

指導教授 : 蘇燦煮
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摘要


現今醫療進步,已大為降低孕婦及新生兒的死亡率,然而,胎兒異常卻仍會發生,導致孕婦突然面臨終止妊娠的處境,本研究目的為探討胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗。 本研究採質性研究設計,以田野研究法進行。研究情境為台北市某醫學中心,研究對象為胎兒被診斷異常,並於第二孕期接受終止妊娠之孕婦。採立意取樣共六例。研究者以主護護理師之身分,提供護理照護,同時以觀察者即參與者之角色,藉由觀察及訪談收集資料。資料收集於每位研究對象住院接受引產、待產、生產、產後及出院坐月子期間,為期一個月,每位研究對象共收集6~8次的訪談資料,並以文字紀錄,以現象學解釋性分析的三個策略:主題分析、範例分析、典範案例分析,進行資料分析。並依據採Lincon及Guba所提出之確實性、可推及性、可靠性、可證實性等,提高本研究的嚴謹度。 研究結果由資料歸類出胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗,共六個類目,包括:(1)對於全家期待落空傷心難過、(2)母子之情血脈相連頓時終止、(3)陷於暗淡生產哀愁、(4)盼望胎兒安詳離去並被尊嚴對待、(5)月子期間甚感空虛且獨自品嚐、(6)思及未來的懷孕既期待又怕受傷害。依據本研究結果,建議護理人員提供以家庭為中心及人性化關懷之護理照顧,協助此類孕婦渡過此不幸的歷程。

並列摘要


Today’s medical technology is more advanced than ever; it has greatly reduced the death of pregnant women and new born babies. However, death, miscarriage, abnormality in fetus’s chromosomes and death of new born still happen constantly; these cause women feeling empty and sorrow. Therefore, the goal of this study is to research women’s living experience after the termination of second trimester pregnancy. This study uses Field method, a qualitative study design. The setting is in a medical center in Taipei and the subjects of study are women who have terminated second trimester pregnancy. The sampling method is purposive sampling. The researcher provided nursing care to the mothers and collected data by using participant observation and interview from the time of checking into hospital, waiting for delivery, delivering, post-delivering to the one-month home recovery period. Each subject is interviewed 6 to 8 times; their verbal and non-verbal behaviors are documented in words. The records are analyzed using phenomenology, including thematic analysis, exemplars, and paradigm cases. The entire research process, including the data collection and analysis, are evaluated by credibility, transferability, dependability and confirmability, to make sure the trustworthiness of the research. The research finds that the living experiences of women whose fetus were diagnosed abnormality during the termination of second trimester pregnancy, include, first, feeling ashamed facing family member, second, the termination of feeling toward fetus, third, trapping in sorrow and unhappiness, fourth, wishing the fetus leaving with peace and dignity, fifth, feeling alone and empty during the one-month home recovery period and sixth, contradictory feelings toward pregnancy. This research provides a reference for nursing staff when taking care of women who terminate second trimester pregnancy and assisting them walking out of emotional lowness.

參考文獻


徐金梅(2005)•胎兒染色體異常的婦女於第二孕期接受終止妊娠之生活經驗•未發表的碩士論文•台北:國立臺灣大學。
李碧娥•(2003)• 一位懷連體胎兒而中止懷孕婦女的哀傷反應•醫護科技學刊,5(3), 283-291。
陳映燁、李明濱(1998)•婦女流產護或死胎之身心醫學觀•臺灣醫學會雜誌, 2(2), 204-207。
曾英芬、許敏桃、郭玲莉(2001)•關懷照護的現象學研究—從經歷死產之台灣婦女的經驗談起•護理研究,9(3), 223-232。
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被引用紀錄


陳宥澐(2010)。滿懷恩典:走過懷孕失落的悲傷療癒旅程之自我敘說〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315190881
程秋楨(2010)。成年女性在大學修業期間懷孕/生產的經驗與因應之研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-1610201315180034

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