探討初產婦之分娩經驗－帕西護理研究法

背景：分娩是婦女深層的渴望與刻骨銘心的痛苦經驗，也是備受祝福的人生大事。其意義取決於社會文化環境與分娩的情境因素，對健康有長遠的影響，更是產科照護的重要議題。臨床較少根據帕西（Parse）護理研究法於初產婦的分娩經驗。目的：探討初產婦的分娩經驗。方法：研究設計為帕西護理研究法之質性研究，自2017年4月至6月間，於南部一家婦產專科醫院採立意取樣進行收案，藉著研究者與個案一對一的深入對談，再進行擷取與綜合與啟發性的詮釋過程，直到資料分析達飽和共收案4人。研究結果：顯示初產婦的分娩共通生活經驗結構是：一、危機展開，境隨心轉，珍惜是轉機。二、猶豫在揭露－隱藏間，全力投入。三、逆境的瞬間，驚喜改變人生。結論：帕西人的成長理論是人性化科學，以尊重和真誠應用於分娩的照護，提供個別性的護理服務品質與健康生活經驗的瞭解，增進彼此的信任感及安全感，營造友善生產環境。

關鍵字

帕西護理研究法；初產婦；分娩經驗

並列摘要

Background: Women have a strong desire towards childbirth, despite parturition being a highly celebrated event; it is also an unforgettable, excruciatingly painful experience for women. The meaning of parturition is determined by social environments and situational factors that women experienced, where parturition has a long-term effect on women's health and is a major subject in obstetrics care. Clinically, scant studies have adopted the Parse nursing research method when analyse women's parturition experiences. Objective: Investigation regarding the parturition experiences of primiparas. Method: This study was a qualitative study conducted using the Parse nursing research method. The study was executed during April to June 2017, where data were collected by conducting in-depth interviews with primiparas at a maternity specialist hospital in Kaohsiung applying the purposive sampling method. Subsequently, a collection, integration, and inspiration-based interpretation process was employed until the data analyses became saturated. The data from a total of four primiparas were collected. Result: The study results showed that the primiparas shared the following experiences during parturition: (i) delivery crisis unfolding- the mind determines situation, cherish and do not give up; (ii) Hesitate in the revealing-concealing, and fully committed to childbirth; (iii) Adversity moment, surprises that change life. Conclusion: Parse's human becoming theory is humanized science that applies respect and sincerity for individualized nursing care and share healthy life experiences with women giving birth. The goals were to develop a sense of trust and security between the women and nurses, creating a friendly birth given environment.

並列關鍵字

Parse method study ； primipara ； parturition experience

參考文獻

黃哲政、蘇棋楓、蔡宏志（2016）•引產與剖腹產之臨床基本觀念•北市醫學雜誌，13(3): 285-292。https://doi.org/10.6200/TCMJ.2016.13.3.02

Boryri, T., Noori, N. M., Teimouri, A., & Yaghobinia, F. (2016). The perception of primiparous mothers of comfortable resources in labor pain (a qualitative study). Iranian Journal of Nursing and Midwifery Research, 21(3), 239–246. http://doi.org/10.4103/1735-9066.180386

Borrelli, S. E., Walsh, D., & Spiby, H. (2017). First-time mothers' choice of birth place: influencing factors, expectations of the midwife's role and perceived safety. Journal of Advanced Nursing, 73(8), 1937-1946. https://doi.org/10.1111/jan.13272

Bunkers, S. S. (2017). The living experience of feeling surprised. Nursing Science Quarterly, 30(1), 44-51. https://doi.org/10.1177/0894318416660532

Dadipoor, S., Mehraban, M., Aghamolaei, T., Ramezankhani, A., & Safari-Moradabadi, A. (2017). Prediction of birth type based on the health belief model. Journal of Family Reprod Health, 11(3), 159-164. https://doi.org/10.1007/BF00986903

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探討初產婦之分娩經驗－帕西護理研究法

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