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題名：不孕夫妻於不孕歷程的反應與互動：臺灣不孕女性的觀點
書刊名：彰化師大輔導學報
作者：林旖旎 引用關係／蔡永杰 引用關係／康介乙
作者(外文)：Lin, Yii-nii／Tsai, Yung-chieh／Kung, Chieh-yi
出版日期：2004
卷期：26:1
頁次：頁39-66
主題關鍵詞：不孕夫妻；不孕女性；不孕歷程；Infertile couples；Infertile women；The process of infertility
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(2) 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:52
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本研究探討台灣女性不孕症病患描述她與配偶於不孕歷程的反應與互動狀況。十六位台灣、女性參與本研究，均為原發性不孕症患者，平均年齡為33.31歲，平均結婚6.50年，且曾在台灣南部一家醫學中心的不孕症治療中心接受治療，並且已完成至少一次不孕的療程，平均接受不孕症治療約4.16年。本研究採用現象學質化取向Colaizzi(1978)所提出的Duquesne method (引自McLeod, 2001)，進行深度訪談與資料分析。發現不孕女性認為與其配偶相較，承受較高的不孕壓力，與擔負較重的不孕醫療責任。女性為不孕醫療歷程的主要行動者與決策者，其配偶被視為被動配合者。女性較男性更快進入不孕歷程中的覺察期、移動期、與投入期，但傾向較慢離開投入期，進入解決期，意即當女性仍願意持續嘗試醫療時，男性通常已開始考慮進入解決期。台灣夫妻經歷不孕的歷程速度與投入的深度有所不同，女性具較強烈的動機進行不孕醫療，且較其配偶更為投入。由於夫妻於不孕歷程常處於不同的階段，易引發衝突。女性認為投入期為夫妻衝突最劇烈的時期，她們認為不孕為人生重大危機，迫切需求配偶的支持與同理。最後，臨床、研究、與教育訓練的相關議題亦被探討
The purpose of this study was to describe sixteen Taiwanese female infertility patients' viewpoints on her reactions toward and interactions with her spouse during the process of infertility. Sixteen participants from the middle or higher socioeconomic status from southern Taiwan averaged 33.31 years old and had been married an average of 6.5 years. The women had completed at least one cycle of infertility treatment and averaged 4.16 years of medical infertility treatment. A "Duquesne method" of phenomenological qualitative analysis proposed by Colaizzi (1978) (cited from McLeod, 2001) was adopted in order to collect and analyze data. The participants reported a higher degree of stress than their spouses, and carried a larger burden of duty throughout infertility treatment. The women viewed themselves as playing the role of decision-makers and actionists in dealing with infertility problems. When looking at the process of infertility closely, these participants tended to get involved in the phases of dawning, mobilization, and immersion sooner than their spouses, and were inclined to stay in the phase of immersion longer and leave this phase later than their spouses. Men were likely to consider terminating medical interventions earlier than women, especially when the women insisted on infertility treatment. In summary, women were apt to get involved with infertility processes sooner and more deeply, and devoted more effort toward infertility treatment with a stronger motivation than their spouses. Because wives and husbands might be occupied in different phases of the infertility process, they might more easily engage in conflicts. Participants also identified the immersion phase as the most difficult time, in which the couple encountered a high degree of stress and conflict. The participants viewed infertility itself and the process of infertility as significant life crises, and acknowledged a need for support and caring from their spouses Finally, implications for mental health clinicians, researchers, and educators/trainers were delineated.
期刊論文
1.李麗熒(19941200)。不孕症婦女的壓力源及因應行為。輔英學報，14，50-68。  延伸查詢new window
2.Downey, J.、Yingling, S.、McKinney, M.、Husami, N.、Jewelewicz, R.、Maidman, J.(1989)。Mood disorders, psychiatric symptoms, and distress in women presenting for infertility evaluation。Fertility and Sterility，52(3)，425-432。  new window
3.Mahlstedt, Patricia P.、Macduff, Susan、Bernstein, Judith(1987)。Emotional factors and the in vitro fertilization and embryo transfer process。Journal of in Vitro Fertilization & Embryo Transfer，4(4)，232-236。  new window
4.李淑杏、郭碧照、李孟智、賴慶祥、李茂盛(19980300)。不孕症夫妻成為父母後的心理反應變化。臺灣醫學，2(2)，133-140。  延伸查詢new window
5.郭碧照、王郁茗(19930400)。中部某教學醫院不孕症婦女之憂傷過程與反應之研究。公共衛生，20(1)，46-57。  延伸查詢new window
6.李麗熒、金繼春(19960600)。南部某醫學中心不孕婦女感受到的壓力源。護理研究，4(2)，186-194。new window  延伸查詢new window
7.李從業、張昇平、陳嘉琦(19971000)。不孕夫妻的困擾程度、壓力感受及因應策略的比較。護理研究，5(5)，425-438。new window  延伸查詢new window
8.郭碧照、李茂盛(19920300)。護理措施對不孕症接受生殖科技治療婦女社會心理反應與壓力感受之效果探討。護理雜誌，39(1)，95-105。new window  延伸查詢new window
9.Osborne, J. W.(1994)。Some similarities and differences among phenomenological and other methods of psychological qualitative research。Canadian psychology，35(2)，167-189。  new window
10.陳淑(19950900)。一位充滿失落經驗的繼發性不孕症婦女再次生產時對身體功能的關注。護理雜誌，42(3)，57-65。new window  延伸查詢new window
11.蘇燦煮、余玉眉、陳月枝(19980600)。不孕婦女面對不孕及治療的困惑與護理需求。護理雜誌，45(3)，15-20。new window  延伸查詢new window
12.張昇平(19870400)。試管嬰兒治療對象的選擇與其心理層面之顧念。護理雜誌，34(2)，23-29。new window  延伸查詢new window
13.張維安(19940400)。生活世界與兩性關係。婦女與兩性學刊，5，109-131。new window  延伸查詢new window
學位論文
1.陸瑩華(2002)。中年雙薪不孕夫妻生活經驗之研究(碩士論文)。國立高雄師範大學。  延伸查詢new window
圖書
1.McLeod, J.(2001)。Qualitative research in counseling and psychotherapy。London：Sage。  new window
2.Mishler, Elliot G.(1986)。Research Interviewing: Context and Narrative。Cambridge, MA：Harvard Univeersity Press。  new window
3.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
4.Kvale, Steinar(1996)。Interviews: An introduction to qualitative research interviewing。Sage。  new window
其他
1.李淑杏、郭碧照、李孟智、李茂盛(1991)。接受人工生殖科技治療之不孕症婦女的心理壓力及其相關因子。  延伸查詢new window
2.李淑杏、郭碧照、李孟智、李茂盛(1995)。接受人工生殖科技治療的不孕症夫妻之心理社會反應。  延伸查詢new window
3.李淑杏、郭碧照、黃梨香、王郁茗、李茂盛(2000)。接受試管嬰兒治療之不孕症婦女在不同治療過程的心理社會反應。  延伸查詢new window
4.林旖旎(2001)。不孕症病患之壓力源、反應模式、與心理治療。  延伸查詢new window
5.林旖旎、蔡永杰(1999)。壓力紓解與情緒支持對不孕症治療之幫助。  延伸查詢new window
6.徐怡伶(2000)。接受生殖科技治療不孕夫妻情緒反應及因應行為與其相關因素之探討。  延伸查詢new window
7.張秀玉、郭碧照(2000)。初次與重複接受施試管嬰兒治療不孕症夫妻之心理社會反應。  延伸查詢new window
8.郭碧照、李淑杏、王郁茗、李茂盛(1998)。傳統生育觀念與不孕夫妻憂傷反應之相關探討。  延伸查詢new window
9.曾櫻花、穆佩芬、夏萍、趙湘台(2000)。不孕婦女於接受體外授精與胚胎植入之治療期間的家庭壓力經驗。  延伸查詢new window
10.葉翠芬(1999)。男性不孕症配偶之生活經驗。  延伸查詢new window
11.楊麗齡(2002)。台灣北部地區不孕婦女婚姻關係之生活經驗：一個現象學研究。new window  延伸查詢new window
12.劉春年、郭碧照、李茂盛(1991)。不孕症婦女之社會心理反應及其相關因素的探討。  延伸查詢new window
13.Abbey, A.(1991)。The importance of social relationships for infertile couples' well being。  new window
14.Andrews, F. M.(1992)。Is fertility problem stress different? The dynamics of stress in infertile and fertile couples。  new window
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19.Berg, B.(1991)。Psychological functioning across stages of treatment for infertility。  new window
20.Berg, B. J.(1991)。Psychological sequelae of infertility treatment: The role of gender and sex role identification。  new window
21.Blenner, J. L.(1990)。Passage through infertility treatment: A stage theory。  new window
22.Braverman, A. M.(1997)。When is enough, enough? Abandoning medical treatment for infertility。  new window
23.Bringhenti, F.(1997)。Psychological adjustment of infertile women entering IVF treatment: Differentiating aspects and influencing factors。  new window
24.Callan, V. J.(1988)。Emotional aspects and support in vitro fertilization and embryo transfer programs。  new window
25.Callan, V. J.(1989)。Psychology adjustment to infertility : A unique comparison of two groups of infertility women, mothers, and women childless by choice。  new window
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27.Daniluk, J. C.(1988)。Infertility: Interpersonal and interpersonal impact。  new window
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