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。
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.