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摘要
外文摘要
引文資料
題名:
母親經歷新生兒死亡的經驗與感受--質性回溯性研究
書刊名:
護理雜誌
作者:
江巧琴
/
李絳桃
/
王昭慧
/
唐婉如
作者(外文):
Chiang, Chiao-Ching
/
Lee, Jian-Tao
/
Wang, Chao-Hui
/
Tang, Woung-Ru
出版日期:
2007
卷期:
54:5
頁次:
頁48-55
主題關鍵詞:
新生兒死亡
;
失落
;
哀傷
;
Neonatal death
;
Loss
;
Grief
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
4
) 博士論文(
1
) 專書(0) 專書論文(0)
排除自我引用:
4
共同引用:0
點閱:86
本研究之目的在探討母親經歷新生兒死亡的經驗與感受。採質性研究,以回溯方式透過半結構性訪談指引收集資料,研究對象為曾經歷新生兒死亡的八位母親,訪談資料以Colaizzi(1978)的現象學研究步驟進行分析。研究結果歸納出四個主要概念:(1) 瀕死前的困惑:母親面臨非預期的新生兒死亡,常在疼惜脆弱的生命中找尋死亡的緣由,並陷於救與不救的兩難中。(2) 失落後的混亂:母親面臨失落後會產生生理、心理與行為上的混亂,及難以認同的母親角色,使夫妻間產生不一致的期待。(3) 失落後的調適:由於傳統的限制,使母親無法參與死亡儀式,產生不安與遺憾,面臨無助的安慰或宣洩,都無法不面對所背負的職責,必須以轉變的思緒來調適。(4) 期待專業引導:母親期望有專業化的引導面對死亡的事實,能提供逝嬰紀念物與出院後關懷追蹤的必要性。本研究建議失落的母親透過適當的管道表達其哀傷,醫療院所應加強母親返家後的專業追蹤,協助經歷新生兒死亡的母親能夠早日重獲身、心、靈的健康。
以文找文
The purpose of this qualitative study is to understand mothers' experiences and perspectives concerning neonatal death. In-depth interviews with eight mothers were conducted. Data were collected using a retrospective method based on semi-structured interview guidance, and analyzed according to Colaizzi's (1978) phenomenology approach. Four themes evolved: (1) Puzzlement on the brink of neonatal death: neonatal death, as an unpredicted event, constitutes a puzzle for mothers; they tend to seek the cause of the mishap, and in turn, fall into a dilemma about whether to try to save the newborn. (2) Chaos in the wake of the loss of babies: mothers' experience of physical, mental, and behavioral changes which might stymie their original positive attitude toward the role of being a mother, and further cause a divergence of expectations between the husband and wife. (3) Adjustments in the wake of the loss: when mothers try to adjust themselves, common approaches, such as good-will pep-talk and emotional utterance/sharing, are not really helpful. Certain factors also play a part, ether positively or negatively, in the mental adjustment process; they include responsibility for the household, intentional mood-diversion, prohibiting the mother from participating in funerals for the babies. (4) Professional guidance: mothers expect to receive professional guidance to help them to face the fact of death, especially in the moment of separation; providing memorabilia and personalized follow-ups for mothers are beneficial. In conclusion, it is suggested that mothers experiencing neonatal death should be encouraged to express their grief through appropriate emotional channels, and receive professional follow-up to rebuild physiologically, psychologically, and spiritually, rather than suppressing their mourning.
以文找文
期刊論文
1.
Giorgi, A.(2005)。The phenomenological movement and research in the human sciences。Nursing Science Quarterly,18(1),75-82。
2.
Kavanaugh, K.、Trier, D.、Korzec, M.(2004)。Social support following perinatal loss。Journal of Family Nursing,10(1),70-92。
3.
Abe, N.、Catlin, A.、Mihara, D.(2001)。End of life in the NICU. A study of ventilator withdrawal。MCN: The American Journal of Maternal/Child Nursing,26(3),141-147。
4.
Capitulo, K. L.(2004)。Perinatal grief online。MCN: The American Journal of Maternal/Child Nursing,29(5),305-311。
5.
Dyer, K. A.(2005)。Identifying, understanding, and working with grieving parents in the NICU, Part I: Identifying and understanding loss and the grief response。Neonatal Network,24(3),35-46。
6.
Haas, F.(2003)。Bereavement care: Seeing the body。Nursing Standard,17(28),33-37。
7.
Jansen, J. L.(2003)。A bereavement model for the intensive care nursery。Neonatal Network: The Journal of Neonatal Nursing,22(3),17-23。
8.
Kathleen, L. M.、Celia, S. T.、Sherylyn, H. B.(2005)。The spiritual needs of parents at the time of their child's death in the pediatric intensive care unit and during bereavement: A qualitative study。Pediatric Critical Care Medicine,6(4),420-427。
9.
Laakso, H.、Paunonen-Ilmonen, M.(2002)。Mothers' experience of social support following the death of a child。Journal of Clinical Nursing,11(2),176-185。
10.
Lang, A.、Goulet, C.、Amsel, R.(2004)。Explanatory model of health in bereaved parents post-fetal/infant death。International Journal of Nursing Studies,41(8),869-880。
11.
Logsdon, M. C.、Davis, D. W.(2003)。Social and professional support for pregnant and parenting women。MCN: The American Journal of Maternal/Child Nursing,28(6),371-376。
12.
Lundqvist, A.、Nilstun, T.、Dykes, A. K.(2002)。Both empowered and powerless: Mothers' experiences of professional care when their newborn dies。BIRTH,29(3),192-199。
13.
Mitchell, M.(2005)。Preparing student midwives to care for bereaved parents。Nursing Education in Practice,5(2),78-83。
14.
Moro, T.、Kavanaugh, K.、Okuno-Jones, S.、VanKleef, J. A.(2006)。Neonatal end-of-life care: A review of the research literature。The Journal of Perinatal & Neonatal Nursing,20(3),262-273。
15.
Prommanart, N.、Phatharayuttawat, S.、Boriboonhirunsarn, D.、Sunsaneevithayakul, P.(2004)。Maternal grief after abortion and related factors。Journal of Medical Association Thailand,87(11),1275-1280。
16.
Romesberg, T. L.(2004)。Understanding grief: A component of neonatal palliative care。Journal of Hospice and Palliative Nursing,6(3),161-170。
17.
Schultz, G. S.、Cobb-Stevens, R.(2004)。Husserl's theory of wholes and parts and the methodology of nursing research。Nursing Philosophy,5(3),216-223。
18.
St. John, A.、Cooke, M.、Goopy, S.(2006)。Shrouds of silence: Three women's stories of prenatal loss。Australian Journal of Advanced Nursing,23(3),8-12。
19.
Wallerstedt, C.、Lilley, M.、Baldwin, K.(2003)。Interconceptional counseling after perinatal and infant loss。Journal of Gynecology and Neonatal Nursing,32(4),569-573。
20.
Catlin, A.、Carter, B.(2002)。Creation of a neonatal end-of-life palliative care protocol。Journal of Perinatology,22(1),184-195。
21.
Hsu, M.、Tseng, Y.、Kuo, L.(2002)。Transforming loss: Taiwanese women's adaptation to stillbirth。Journal of Advanced Nursing,40(4),387-395。
22.
Hutti, M. H.(2005)。Social and professional support needs of families after perinatal loss。The Journal of Perinatal and Neonatal Nursing,34(5),630-636。
23.
Kain, V. J.(2006)。Palliative care delivery in the NICU: What barriers do neonatal nurses face?。Neonatal Network,25(6),387-391。
24.
Trulsson, O.、Radestad, I.(2004)。The silent child--mothers' experiences before, during, and after stillbirth。Birth,31(3),189-195。
25.
Zachariah, R.(1994)。Maternal-fetal attachment: Influence of mother-daughter and husband-wife relationships。Research in Nursing & Health,17(1),37-44。
26.
Dyregrov, K.(2004)。Bereaved parents' experience of research participation。Social Science & Medicine,58(2),391-400。
圖書論文
1.
Lincoln, Y. S.、Guba, E. G.(1985)。Establishing trustworthiness。Naturalistic inquiry。Beverly Hills, CA:Sage。
2.
Colaizzi, Paul F.(1978)。Psychological research as the phenomenologist views it。Existential-phenomenological alternatives for psychology。New York:Oxford University Press。
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