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題名:具早產徵狀孕婦之住院經驗與照護需求
書刊名:護理研究
作者:莊麗蘭夏萍絗周治蕙
作者(外文):Chuang, Li-lanHsia, Ping-huiChou, Chih-huey
出版日期:1997
卷期:5:6
頁次:頁511-523
主題關鍵詞:具早產徵狀孕婦住院經驗照護需求Pregnant woman with preterm labor symptomsHospitalization experienceCare needs
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(3) 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:2
  • 共同引用共同引用:0
  • 點閱點閱:63
     本研究是一質性研究,目的在探討具早產徵狀孕婦於安胎最初一週期間的住院經 驗與照護需求。採深度訪談法收集資料,再將訪談錄音內容配合觀察摘要書寫成行為過程記 錄,並以內容分析法分析資料。結果發現,十位安胎孕婦之住院經驗可歸納為十種類別,即 :不確定感、害怕失去胎兒、身體不適感、矛盾感、無聊厭煩感、初期不以為意、盡力配合 醫囑、對環境缺乏安全感、缺乏隱私感、憂慮感等。而照護需求方面則歸納出九項:提供充 分及明確的訊息、服務態度良好、給予日常生活起居活動之協助、具專業及熟練的技能、適 時探視掌握病情、安排合適的病床位置、提供方便與外界聯絡的設施、提供日間臥床消遣的 設備和提供營養可口的餐點。本研究也發現:「不確定感」總是出現在其住院經驗之中;而 孕婦對依醫囑絕對臥床休息而需在床上如廁之事感到極不適應。本研究試圖以個案的觀點來 瞭解住院安胎孕婦們的經驗及其所需的護理,研究結果可作為臨床護理安胎孕婦產前照顧之 參考。
     The purpose of this qualitative study was to explore the experience of hospitalization and care needs of pregnant women with preterm labor symptoms during the first week of their hospitalization. In-depth interviews were used to collect data and were tape-recorded and transcribed as process recordings. Content analysis revealed that the experience of hospitalization of ten pregnant women included a sense of uncertainty, fear of fetal loss, physical discomfort, ambivalence, feeling of boredom, carelessness during the early stage, compliance with physician's instructions, lack of a sense of security in their surroundings, lack of privacy and worries. The care needs of the subjects included providing adequate information, expressing a good service attitude, assisting in daily actitivies, providing professional and skillful techniques, frequently conferring with them to understand their health condition, arranging appropriate space, providing convenient means for communication outside the hospital, providing recreational facilities, and providing nutritious and delicious meals. In addition, uncertainty over the entire hospitalization experience was noted. To obey the prescription of absolute bedrest and the use of a bedpan in the bed was difficult to adjust to. Since this study was oriented toward the subjects' point of view of the hospitalization experience and the care needs of pregnant women, the research findings can be used for improving care of pregnant women with preterm labor symptoms in clinical practice.
期刊論文
1.Stainton, M. C.、McNeil, D.、Harvey, S.(1992)。Maternal tasks of uncertain motherhood。Maternal-Child Nursing Journal,20(3/4),113-123。  new window
2.Snyder, Dona J.(1979)。The high-risk mother viewed in relation to a holistic model of the childbearing experience。Journal of Obstetric, Gynecologic, Neonatal Nursing,8(3),164-170。  new window
3.Sandelowski, M.(1986)。The problem of rigor in qualitative research。Advanced of Nursing Science,8(3),27-37。  new window
4.Kemp, V. H.、Page, C. K.(1986)。The psychosocial impact of a high-risk pregnancy on the family。Journal of Obstetric, Gynecologic, & Neonatal Nursing,15(3),232-236。  new window
5.Loos, C.、Julius, L.(1989)。The client's view of hospitalization during pregnancy。Journal of Obstetric, Gynecologic, Neonatal Nursing,18(1),52-56。  new window
6.Maloni, J. A.、Kasper. C. E.(1991)。Physical and psychosocial effects of antepartum hospital bedrest: A review of the literature。IMAGE: The Journal of Nursing Scholarship,23(3),187-192。  new window
7.Maloni, J. A.、Chance, B.、Zhang, C.、Cohen, A. W.、Betts, D.、Gange, S. J.(1993)。Physical and psychosocial side effects of antepartum hospital bed rest。Nursing Research,42(4),197-203。  new window
8.Mercer, R. T.、Ferketich, S. L.、DeJoseph, J.、May, K. A.、Sollid, D.(1988)。Effect of stress on family functioning during pregnancy。Nursing Research,37(5),268-275。  new window
9.Mercer, R. T.、Ferketich, S. L.(1990)。Predictors of family functioning eight months following birth。Nursing Research,39(2),76-82。  new window
10.Stainton, M. C.(1992)。Mismatched caring in high-risk perinatal situations。Clinical Nursing Research,1(1),35-49。  new window
11.White, M.、Ritchie, J.(1984)。Psychological stressors in antepartum hospitalization: Reports from pregnant women。Maternal-Child Nursing Journal,13(1),47-56。  new window
12.Williams, F.(1974)。The crisis of hospitalization。Nursing Clinics of North America,9(1),37-45。  new window
13.Williams, M. L.(1986)。Long-term hospitalization of women with high-risk pregnancies: A nurse's viewpoint。Journal of Obstetric, Gynecologic, Neonatal Nursing,15(1),17-21。  new window
圖書
1.Morse, J.(1989)。Qualitative nursing research: A contemporary dialogue。Sage。  new window
2.Rubin, R.(1984)。Maternal identity and the maternal experience。New York:Springer Publishing Company。  new window
 
 
 
 
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