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題名:一位海洋性貧血帶因孕婦之篩檢處境與因應行為
書刊名:護理雜誌
作者:鄭美金
作者(外文):Cheng, M. C.
出版日期:1999
卷期:46:5
頁次:頁44-54
主題關鍵詞:海洋性貧血帶因者篩檢處境因應行為Thalassemia carrierScreening situationCoping behavior
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)
  • 排除自我引用排除自我引用:1
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  • 點閱點閱:16
     本研究目的是探討一位海洋性貧血帶因孕婦,在經歷多次懷孕失敗後,面對篩檢 及等待結果確定期間之生活處境與因應行為。採田野研究法,以觀察者即參與者的方式了解 個案所處情境,用非結構式的觀察與會談收集資料,將個案所表達出的語言及非語言行為加 以記錄、整理、分析、歸類。 研究結果顯示在生活處境方面有:( 1 )被貼上標籤 -- 我 是海洋性貧血帶因孕婦? ( 2 )孕育結果未能確定的難捱過程, ( 3 )對結果的失落感 -- 想要一個孩子竟是這麼難,( 4 )對疾病的無法控制感到無力感與無奈。而在因應行為 方面有:( 1 )尋求該疾病影響懷孕的有關資料,( 2 )避免自己及胎兒受到傷害,( 3 )降低理想,以達到期望,( 4 )轉移注意力,減緩壓力,( 5 )自我調整 -- 尋找平衡 點,讓自己面對事實。
     This study investigated how a female thalassemia carrier dealt with the process of screening after multiple failed pregnancies. It adapted the field study in which the observer behaves as a participant to understand the patient's situation using unconstructed observation and conversation. This method involves the observer recording, organizing and analyzing the patient's language and non- language behaviors. The research revealed many insights into the thoughts and feelings of the patient, These thoughts include: (1) Concern about the attachment of labels--Am I a thalassemia-carrying pregnant woman? (2) Uncertainty about the process of pregnancy. (3) Frustration about failure to have a baby. (4) Negative attitude toward uncontrolled disease. Moreover, this study discovered that her coping behaviors included: (1) Looking for information about the disease. (2) Avoiding hurting herself and her baby. (3) Lowering her ideals to meet her expectations. (4) Thinking about other things to relax. (5) Coming to terms with her situation and facing the facts of her disease.
期刊論文
1.Huang, Lian-hua、Hsieh, Fou-jou、Ko, Tsang-ming(19940900)。Prenatal Screening for High Risk Pregnancies。Journal of Genetics and Molecular Biology,5(3),61-65。  new window
2.Floyd, C. C.(1981)。Pregnancy after reproductive failure。American Journal of Nursing,81(11),2050-2053。  new window
3.簡博賢、謝豐舟(19980100)。α地中海型貧血之巴氏血紅素胎兒水腫的產前超音波診斷。當代醫學,25(1)=291,24-29。  延伸查詢new window
4.Sandelowski, M.(1988)。A case of conflicting paradigms: Nursing and reproductive technology。Advances in Nursing Science,10(3),35-45。  new window
5.Rubin, R.(1968)。Body image and self-esteem。Nursing Outlook,16(6),20-23。  new window
6.Penticuff, J. H.(1982)。Psychologic implication in high risk pregnancy。Nursing Clinics of North American,17(1),69-78。  new window
7.Kenen, R. H.、Schmidt, R. M.(1978)。Stigmatization of carrier status: Social implications of heterozygote genetic screening programs。American Journal public Health,68(11),1116-1120。  new window
8.Wohlreich, M. M.(1986)。Psychiatric aspects of high risk pregnancy。Psychiatric Clinics of North American,10(1),53-68。  new window
9.Synder, D. 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
圖書
1.顏兆熊(1991)。產科遺傳學及產前診斷。台北:欣林。  延伸查詢new window
2.黃璉華(1996)。優生保健。台北:華杏。  延伸查詢new window
3.馮琪瑩、余玉眉(1990)。婦嬰護理學。台北:華杏。  延伸查詢new window
4.Deutch, H.(1944)。Psychology of women。New York:Grune & Stratton。  new window
5.Kübler-Ross, E.(1969)。On Death and Dying: What the Dying Have to Teach Doctors, Nurses, Clergy, and Their Own Families。New York:Macmillan。  new window
6.余玉眉、田聖芳、蔣欣欣(1991)。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
圖書論文
1.柯滄銘(1996)。產前胎兒染色體和單一基因疾病診斷在台灣的最新發展。國立台灣大學醫學院婦產科暨優生保健部資料。  延伸查詢new window
2.Heading, V.(1974)。Psychological issues in sickle cell counseling。Genetic counseling: Psychological dimension。New York:Academic Press。  new window
 
 
 
 
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