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題名:一位已結紮婦女經由生殖科技再次懷孕後於第二孕期接受終止妊娠的行為反應
書刊名:護理雜誌
作者:王慧蘭
作者(外文):Wang, Hui-lan
出版日期:2003
卷期:50:5
頁次:頁29-36
主題關鍵詞:結紮婦女生殖科技第二孕期終止妊娠行為反應Ligated womanAssisted reproductive technologySecond trimesterTermination of pregnancyBehavioral responses
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:9
  • 點閱點閱:14
     本個案研究是以田野研究法(field method)探討一位曾經接受結紮術的婦女,在藉由生殖科技終於懷孕後,於第二孕期因胎兒異常而接受終止妊娠產生的行為反應。研究者是於個案住院期間,以觀察者即參與者的方式收集資料,再將個案當時呈現的語言與非語言行為書寫成行為過程記錄,共計5篇,資料並以內容分析法予分析、整理、歸類。結果發現此個案呈現的行為反應有:一、關注身體變化;二、母性任務的執行;及三、對終止妊娠產生的行為反應與調適行為:(一)個案於終止妊娠呈現的行為反應,包括:(1)憤怒、不滿;(2)期望的失落;(3)哀傷;(4)內疚、自責;(5)失去控制力;(二)自我評值。(1)個案對終止妊娠的調適行為有:(2)合理化;(3)推測及歸因;(4)迴避行為;(三)準備行為。生殖科技給予不孕症患者一線生機,即便曾經結紮的婦女都因此受惠,但若孕況生變,必須終止妊娠時,孕婦可謂功虧一簣,處境極為艱困,因此極需我們提供一個支持性的環境,予以接受、陪伴及分享她所有的感受,滿足其身心需求,以協助個案順利渡過此一哀傷過程,逐步的走出創痛。
     The purpose of this case study was to explore the behavioral responses of a ligated woman who had become pregnant after assisted reproductive technology, to receiving termination in the second trimester of pregnancy. The field method was used and data were collected through nursing process recording and analyzed with content analysis. Three main areas of her behavior were inductively identified: (1) Concern about her physical changes; (2) Mothering tasks; (3) Behavioral responses and adaptation to termination. Assisted reproductive technology had given her hope, but the failure of her pregnancy made her very sad. She needed support and understanding, and to share her experience with others. The findings of this case study can provide useful information for nurses when caring for such women.
期刊論文
1.陳淑齡(19970800)。一位因胎兒異常於第二孕期接受終止妊娠孕婦之經驗與因應行為。護理雜誌,44(4),43-53。new window  延伸查詢new window
2.王慧蘭(20010200)。一位安胎失敗的前置胎盤孕婦之經驗歷程及因應行為。護理雜誌,48(1),59-69。new window  延伸查詢new window
3.廖天麟(1998)。輔助生殖科技簡介。護理雜誌,45(3),9-13。new window  延伸查詢new window
4.Garner, C. H.(1985)。Pregnancy after infertility。Journal of Obstetrical Gynecology Neonatal Nursing,14(Suppl.),59-62。  new window
5.Lin, S. X.、Lasker, J. N.(1996)。Patterns of grief reaction after pregnancy loss。American Journal of Orthopsychiatry,66(2),262-271。  new window
6.Lindeman, E.(1944)。Symptomology and management of acute grief。American Journal of Psychiatry,101(2),141-148。  new window
7.Stierman, E. D.(1987)。Emotional aspects of perinatal death。Clinical Obstetrics and Gynecology,30(2),352-361。  new window
8.郭碧照(19980600)。接受生殖科技治療後懷孕婦女孕期身心症狀及護理。護理雜誌,45(3),26-30。new window  延伸查詢new window
圖書
1.Dickason, E. J.、Silverman, B. L.、Kaplan, J. A.、王素琴、黎小娟、陳淑芬、周承珍、翁敏雪、彭孃慧、陳瑞美(2001)。婦嬰護理學。台北:華騰。  延伸查詢new window
2.Woods, N. F.、Catanzaro, M.(1988)。Nursing researchTheory and practice。St. Louis, MO:Mosby。  new window
3.Schilder, Paul(1970)。The image and appearance of the human body。New York, NY:International Universities Press。  new window
4.Rubin, R.(1984)。Maternal identity and the maternal experience。New York:Springer Publishing Company。  new window
圖書論文
1.宋永魁(1998)。不孕症概論。不孕症及生殖內分泌學。台北:合記。  延伸查詢new window
2.陳明哲、何師竹(1998)。輸卵管手術。不孕症及生殖內分泌學。台北:合記。  延伸查詢new window
3.楊友仕(1999)。輸卵管因素與輸卵管整形手術。生殖內分泌及不孕症概要。台北:國立台灣大學出版委員會。  延伸查詢new window
4.余玉眉(1991)。資料分析的方法。質性研究:田野研究法於護理學之應用。臺北:巨流。  延伸查詢new window
 
 
 
 
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