中年婦女罹患心肌梗塞後性生活衝擊與因應行為歷程之研究

Sex Life Impacting And Coping After a Myocardial Infarction in Middle Aged Women

廖翎聿(Line-Yu Laio)

指導教授 ： 吳麗珍

長榮大學/健康科學學院/護理學研究所/碩士(2009年)

摘要

本研究目的主要是了解中年婦女，罹患心肌梗塞後，造成性生活衝擊及在面對心肌梗塞後性生活衝擊時，她所所採取因應行為。
研究設計是以質性研究法，研究對象為40-64歲中年婦女，於罹患心肌梗塞後至少返家後6個月者，採立意取樣方法，共9位。資料收集時間是從自民國97年4月至民國97年9 月止。資料收集地點為台南、高雄等地。研究者以採半結構的訪談大綱，透過深度訪談，到研究對像家中進行會談，每次會談時間為60鐘至120分鐘。在經過訪談者同意後予以錄音，並於訪談後當日完成接觸摘要記錄單，訪談後48小時內，將錄音帶會談內容予以轉譯並完成逐字稿，共完成9篇逐字稿及接觸摘要記錄單。資料分析方法為內容分析法，研究者將完成的逐字稿中，有關中年婦女對於罹患心肌梗塞後，性生活衝擊與其因應行為的語言加上分析整理、歸類。
研究結果顯示，在中年婦女罹患心肌梗塞後，所承受性生活的衝擊可歸類三大範疇，分別為一、性生活品質的隱憂包括症狀困擾、身不由己、恐懼發作害怕死亡；二、女性角色的失落包括被嫌棄、拖累、變調的性事；三、性冷感包括無法負荷行為、親密的恐懼及性趣低落等三大範疇。
面對所承受的衝擊，這些中年婦女在因應行為，從資料終歸納出三個範疇，分別為一、歸因包括找尋病因、察覺症狀改善；二、展望未來包括改變生活常規和認同性事；三、領悟性的真諦包括夫妻關係再造及親密關係的重塑等三大範疇。由從以上研究結果發現，實可作為臨床護理人員，在照護這群中年婦女時的參考，並進而提供他們所需要的護理照顧。

關鍵字

中年婦女 ； 心肌梗塞 ； 恢復期 ； 性生活 ； 衝擊 ； 因應行為

並列摘要

The objective of this study was to explore the impact on sex life of the middle-aged women in Taiwan with myocardial infarction (MI), and how these women coped with the impact after MI.
Study design is based on qualitative research with in-depth interview. The subjects are 40-64 year-old middle-aged women, returning home at least 6 months after suffering from myocardial infarction. The purposive snowball sampling method was utilized and there are a total of 9 participants from Tainan, Kaohsiung and so on. The data were collected from April to September 2008 by the semi-structured interview outline through in-depth interviews for 60 to 120 minutes per person. All participants consent to join this research through telephone communication and invitation, and they also consent to record the interview content. The contact sheets must be completed on the date of interview. The recording content is transcribed within 48 hours. A total of 9 transcripts and contact sheets were finished. The data analysis method is the content analysis. We categorized according to the transcripts about the impact on sex life of the middle-aged women after MI and their reactive behaviors.
The results showed that three categories are concluded for the middle-aged women subject to the impact of sex life from MI. The first is the sex life quality concealed worry including symptoms of distress, involuntarily, and fear of death and attack; the second is the sexual role loss including the disliked and avoided, tie down, and sense of guilty to the spouse. The third is the sexual dysfunction including the intolerance for sex, the fear of intimacy, and low interest to sex.
There are also three kinds of reactive behaviors categorized from the interview content for the women to cope with such impace on sex life. First, the attribute to sex is the reason of MI recurrence, which results in the behaviors such as searching the real causes of MI and self-recognition of symptom improvement. Second, look forward to the future including changing the life routine and recognizing the same sex thing. Third, these women try to comprehend the true essence of relation, so they try to reorganize the conjugal and intimacy relation. With these results, health care providers will be better able to help the middle-aged women enjoy their sex lives after the myocardial Infarction.

並列關鍵字

middle-aged women ； myocardial infarction ； recovery stage

參考文獻

蔡岡廷、邱千芳、蘇士斌、李聰明 (2006)．年輕人的急性心肌梗塞之病例報告．基層醫學，21(10)，61-67。

邱千芳、李聰明 (2005)．冠狀動脈疾病的續發性預防性．基層醫學，20(5)，114-118。

簡正倫 (2003)．冠狀動脈疾病．傳統醫學雜誌，(14)，61-64。

陳慧玲、賴世偉、林正介 (2002)．老人與性．當代醫學，29(2)，155-165。

林蕙瑛 (2005)．性諮商實務中的女性情慾自覺．台灣性學學刊，11(1)，61-75。