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題名:罹患乳房膿瘍婦女持續哺乳之經驗
書刊名:護理雜誌
作者:劉羽嫣陳威志陳淑齡 引用關係
作者(外文):Liu, Yu-yanChen, Wei-chihChen, Shu-ling
出版日期:2016
卷期:63:2
頁次:頁49-57
主題關鍵詞:乳房膿瘍母乳哺餵質性研究Breast abscessBreastfeedingQualitative study
原始連結:連回原系統網址new window
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  • 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)
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  • 共同引用共同引用:0
  • 點閱點閱:19
背景 泌乳期有高達11%乳房發炎的婦女會發展成乳房膿瘍,顯著影響母乳哺育,是潛在重要的婦女健康議題。乳房膿瘍的症狀使婦女經歷強烈的疼痛,疼痛是最主要導致中止母乳哺餵之因素。瞭解持續哺育乳房膿瘍婦女之經驗,可作為協助類似經歷婦女之參考。目的 探討泌乳期婦女從罹患乳房膿瘍至治療期間持續哺乳之經驗。方法 採質性研究,於2012年4月至6月在某醫學中心婦產科門診,以半結構性訪談指引進行60-90分鐘訪談,共選取10位婦女,每位婦女訪談兩次,訪談所得資料寫成逐字稿,並以內容分析法進行資料分析與歸納。結果 歸納七主題,分別為㈠歷經乳房疼痛之不適;㈡面臨處理症狀求助無門之感慨;㈢仰賴為母信念堅持哺乳;㈣震驚乳房膿瘍之診治過程;㈤游移於持續哺乳或放棄之抉擇;㈥感受支持系統之助力;及㈦重返正常生活節奏。結論/實務應用 本研究結果有助於護理人員深入瞭解乳房膿瘍婦女面臨泌乳期乳房膿瘍時,生、心理與社會支持系統之行為反應,及其面臨醫療處置之經驗,可作為護理人員提供符合婦女哺乳照顧需求之參考。
Background: Up to 11% of women with mastitis develop a breast abscess, which obviously affects breastfeeding. Therefore, this is a potentially significant issue for women’s health. Women with breast abscesses suffer from severe pain. Pain is the most significant factor causing the termination of breastfeeding. The experience of women with breast abscesses who continued to breastfeed may provide valuable insights / guidance to women who are currently in the same or similar situations. Purpose: This study explores the continuous breastfeeding experience of women with breast abscesses. Methods: We collected qualitative data from 10 qualified female participants using 60-90 minute, in-depth interviews that were conducted between April 2012 and June 2012 in a central medical center. All interviews were recorded and transcribed verbatim. Content analysis was used to analyze and categorize the major themes. Results: Results were generalized into the following seven themes: (1) experiencing uncomfortable breast pain; (2) feeling helpless to manage the abnormal breast symptoms; (3) relying on the concept of motherhood to support continued breastfeeding; (4) feeling shocked about the process of diagnosis and treatment; (5) facing the doubts and difficulties regarding continuing to breastfeed; (6) experiencing the assistance of the support system for breastfeeding; (7) returning to a normal pattern of life. Conclusions / Implications for Practice: The findings provide nurses with a deeper understanding of the biological and psychological behaviors and social support system experiences of women with breast abscesses who continue to breastfeed. Study results may serve as a reference for nurses in providing mother-centered breastfeeding care.
期刊論文
1.劉蕙蜜、林麗珠、王素秋、周佳慧、陳淑齡(20131200)。泌乳期產後婦女乳房問題之照護探討。助產雜誌,55,21-27。  延伸查詢new window
2.Amir, L. H.、Ingram, J.(2008)。Health professionals' advice for breastfeeding problems: Not good enough!。International Breastfeeding Journal,2008(3),22。  new window
3.Amir, L. H.、Lumley, J.(2006)。Women's experience of lactational mastitis-I have never felt worse。Australian Family Physician,35(9),745-747。  new window
4.Amir, L. H.、Academy of Breastfeeding Medicine Protocol Committee(2014)。ABM Clinical Protocol #4: Mastitis。Breastfeeding Medicine,9(5),239-243。  new window
5.Banapurmath, C. R.、Banapurmath, S. C.、Mallikarjuna, H. B.、Kalliath, A.、Rao, K. T.、Verghese, J.、Kesaree, N.(1995)。Successful management of breast abscess with ongoing breastfeeding。Indian Pediatrics,32(4),488-491。  new window
6.Betzold, C. M.(2007)。An update on the recognition and management of lactational breast inflammation。Journal of Midwifery and Women's Health,52(6),595-605。  new window
7.Cusack, L.、Brennan, M.(2011)。Lactational mastitis and breast abscess: Diagnosis and management in general practice。Australian Family Physician,40(12),976-979。  new window
8.Dener, C.、Inan, A.(2003)。Breast abscesses in lactating women。World Journal of Surgery,27(2),130-133。  new window
9.Dixon, J. M.、Khan, L. R.(2011)。Treatment of breast infection。BMJ: British Medical Journal,342,484-489。  new window
10.Elagili, F.、Abdullah, N.、Fong, L.、Pei, T.(2007)。Aspiration of breast abscess under ultrasound guidance: Outcome obtained and factors affecting success。Asian Journal of Surgery,30(1),40-44。  new window
11.Fetherston, C.(2001)。Mastitis in lactating women: Physiology or pathology?。Breastfeeding Review,9(1),5-12。  new window
12.Fetherston, C. M.、Lai, C. T.、Hartmann, P. E.(2006)。Relationships between symptoms and changes in breast physiology during lactation mastitis。Breastfeeding Medicine,7(3),136-145。  new window
13.Forster, D. A.、McLachlan, H. L.(2010)。Women's views and experiences of breast feeding: Positive, negative or just good for the baby?。Midwifery,26(1),116-125。  new window
14.Givens, M. L.、Luszczak, M.(2002)。Breast disorders: A review for emergency physicians。The Journal of Emergency Medicine,22(1),59-65。  new window
15.Hahn-Zoric, M.、Carlsson, B.、Bjorkander, J.、Mellander, L.、Friman, V.、Padyukov, L.、Hanson, L. A.(1997)。Variable increases of IgG and IgM antibodies in milk of IgA deficient women。Pediatric Allergy and Immunology,8(3),127-133。  new window
16.Hegney, D.、Fallon, T.、O'Brien, M. L.(2008)。Against all odds: A retrospective case-controlled study of women who experienced extraordinary breastfeeding problems。Journal of Clinical Nursing,17(9),1182-1192。  new window
17.Kataria, K.、Srivastava, A.、Dhar, A.(2013)。Management of lactational mastitis and breast abscesses: Review of current knowledge and practice。Indian Journal of Surgery,75(6),430-435。  new window
18.Kvist, L. J.、Larsson, B. W.、Hall-Lord, M. L.(2006)。A grounded theory study of Swedish women's experiences of inflammatory symptoms of the breast during breast feeding。Midwifery,22(2),137-146。  new window
19.Kvist, L. J.、Rydhstroem, H.(2005)。Factors related to breast abscess after delivery: A population-based study。BJOG: An International British Journal of Obstetrics and Gynaecology,112(8),1070-1074。  new window
20.林偉烈、陸幼琴、周少鈞、冉祥俊、陳之凱(20070100)。Mastitis and Breast Abscess: A Retrospective Review of 170 Cases。臺灣外科醫學會雜誌,40(1),16-24。  延伸查詢new window
21.Marchant, D. J.(2002)。Inflammation of the breast. Obsterics and Gynecology。Clinics of North America,29(1),89-102。  new window
22.Palmer, L.、Carlsson, G.、Mollberg, M.、Nystrom, M.(2012)。Severe breastfeeding difficulties: Existential lostness as a mother--Women's lived experiences of initiating breastfeeding under severe difficulties。International Journal of Qualitative Studies on Health and Well-being,7,10846。  new window
23.Schmied, V.、Beake, S.、Sheehan, A.、McCourt, C.、Dykes, F.(2011)。Women's perceptions and experiences of breastfeeding support: A metasynthesis。Birth,38(1),49-60。  new window
24.Spencer, J. P.(2008)。Management of mastitis in breastfeeding women。American Family Physician,78(6),727-731。  new window
25.Trop, I.、Dugas, A.、David, J.、El Khoury, M.、Boileau, J. F.、Larouche, N.、Lalonde, L.(2011)。Breast abscesses: Evidence-based algorithms for diagnosis, management, and follow-up。Radiographics,31(6),1683-1699。  new window
26.Elo, Satu、Kyngäs, Helvi(2008)。The qualitative content analysis process。Journal of Advanced Nursing,62(1),107-115。  new window
學位論文
1.柳素真(2009)。產後乳腺炎婦女持續哺餵母乳之生活經驗探討(碩士論文)。國立台北護理學院。  延伸查詢new window
圖書
1.Lawrence, R. A.、Lawrence, R. M.(2010)。Breastfeeding: A guide for the medical professional。St. Louis, MO:Mosby。  new window
2.Morse, J. M.、Field, P. A.(1996)。Nursing research: The application of qualitative approaches。London:Stanley Thornes。  new window
3.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
 
 
 
 
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