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  2. 醫學院
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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25503
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor蘇燦煮(Tsann-Juu Su)
dc.contributor.authorHsiu-Chen Wuen
dc.contributor.author吳秀珍zh_TW
dc.date.accessioned2021-06-08T06:16:12Z-
dc.date.copyright2007-02-02
dc.date.issued2007
dc.date.submitted2007-01-30
dc.identifier.citation王雅芬、曾雅玲(1998)• 一位罹患地中海型貧血的孕婦面臨中止妊娠之行為反應及護理經驗• 彰化醫學, 3(2), 101-107•
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曾雅玲(1990)•正常分娩的初產婦於待產及生產時的主觀經驗與護理照護需求•未發表的碩士論文•台北:國立臺灣大學。
曾英芬、許敏桃、郭玲莉(2001)•關懷照護的現象學研究—從經歷死產之台灣婦女的經驗談起•護理研究,9(3), 223-232。
黃瑋瑩(2000)•走過終止懷孕的幽谷•臺北市:寂文化事業有限公司天。
楊玉娥(1996)•婦女面對子宮內胎兒死亡之認知反應•護理雜誌,43(1),64-70。
廖珍娟(1998)•喪失嬰兒父母之照顧•護理雜誌雙月刊。
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/25503-
dc.description.abstract現今醫療進步,已大為降低孕婦及新生兒的死亡率,然而,胎兒異常卻仍會發生,導致孕婦突然面臨終止妊娠的處境,本研究目的為探討胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗。
本研究採質性研究設計,以田野研究法進行。研究情境為台北市某醫學中心,研究對象為胎兒被診斷異常,並於第二孕期接受終止妊娠之孕婦。採立意取樣共六例。研究者以主護護理師之身分,提供護理照護,同時以觀察者即參與者之角色,藉由觀察及訪談收集資料。資料收集於每位研究對象住院接受引產、待產、生產、產後及出院坐月子期間,為期一個月,每位研究對象共收集6~8次的訪談資料,並以文字紀錄,以現象學解釋性分析的三個策略:主題分析、範例分析、典範案例分析,進行資料分析。並依據採Lincon及Guba所提出之確實性、可推及性、可靠性、可證實性等,提高本研究的嚴謹度。
研究結果由資料歸類出胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗,共六個類目,包括:(1)對於全家期待落空傷心難過、(2)母子之情血脈相連頓時終止、(3)陷於暗淡生產哀愁、(4)盼望胎兒安詳離去並被尊嚴對待、(5)月子期間甚感空虛且獨自品嚐、(6)思及未來的懷孕既期待又怕受傷害。依據本研究結果,建議護理人員提供以家庭為中心及人性化關懷之護理照顧,協助此類孕婦渡過此不幸的歷程。
zh_TW
dc.description.abstractToday’s medical technology is more advanced than ever; it has greatly reduced the death of pregnant women and new born babies. However, death, miscarriage, abnormality in fetus’s chromosomes and death of new born still happen constantly; these cause women feeling empty and sorrow. Therefore, the goal of this study is to research women’s living experience after the termination of second trimester pregnancy.
This study uses Field method, a qualitative study design. The setting is in a medical center in Taipei and the subjects of study are women who have terminated second trimester pregnancy. The sampling method is purposive sampling. The researcher provided nursing care to the mothers and collected data by using participant observation and interview from the time of checking into hospital, waiting for delivery, delivering, post-delivering to the one-month home recovery period. Each subject is interviewed 6 to 8 times; their verbal and non-verbal behaviors are documented in words. The records are analyzed using phenomenology, including thematic analysis, exemplars, and paradigm cases. The entire research process, including the data collection and analysis, are evaluated by credibility, transferability, dependability and confirmability, to make sure the trustworthiness of the research.
The research finds that the living experiences of women whose fetus were diagnosed abnormality during the termination of second trimester pregnancy, include, first, feeling ashamed facing family member, second, the termination of feeling toward fetus, third, trapping in sorrow and unhappiness, fourth, wishing the fetus leaving with peace and dignity, fifth, feeling alone and empty during the one-month home recovery period and sixth, contradictory feelings toward pregnancy.
This research provides a reference for nursing staff when taking care of women who terminate second trimester pregnancy and assisting them walking out of emotional lowness.
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Previous issue date: 2007
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dc.description.tableofcontents目 錄
誌謝…………………………………………………………………………… i
中文摘要…………………………………………………………….……….. ii
英文摘要……………….……………………………………………………... iii
第一章 緒論…………………………………………………………………. 1
第一節 研究動機與重要….……………………………………………. 1
第二節 研究目的…………………………….………………………… 4
第三節 名詞界定……………………………………………………..… 4
第二章 文獻查證…………..……………………………….………..……… 5
第一節 知覺與生活經驗………………………………………….……. 5
第二節 懷孕對婦女的意義…………………….………………………. 7
第三節 親子關係的建立…………………………..…………………… 9
第四節 終止妊娠對孕婦的影響……..…..……………………………. 11
第五節 相關研究….……………………….…………………………… 16
第三章 研究方法…………………………………………………………….. 20
第一節 研究設計……………………………………………………... 20
第二節 研究情境……………….…………………….………………. 20
第三節 研究對象……..……………………..……….……………… .. 23
第四節 研究工具……..………………………………………….…… 23
第五節 資料收集…….…………………….…………..……………… 24
第六節 資料分析………………………….……….………………….. 33
第七節 研究資料之嚴謹度…………………….……………………... 33
第八節 研究倫理考量………………………………………………… 35
第四章 研究結果………………………………………………………….... 36
第一節 研究對象基本資料………………………….………........... 36
第二節 研究對象之生活經驗.………………………….……….......... 38
壹 對於全家期待落空傷心難過……………………….. 39
貳 母子之情血脈相連頓時終止………………………. 41
參 陷於暗淡生產哀愁…………………………………. 44
肆 盼望胎兒安詳離去並被尊嚴對待……………….. 49
伍 月子期間甚感空虛且獨自品嚐……..………………… 54
陸 思及未來之懷孕既期待又怕受傷害………………….. 58
第五章 討論………………………………………………………………… 62
第一節 研究結果之討論……………………..…………………. …… 62
第二節 研究結果與相關研究之比較………………………................ 65
第三節 研究概念架構之形成………………………..……………….. 70
第六章 結論……………………..……………………..…………………… 72
第七章 建議與限制……………..……………………..…………………… 73
第一節 本研究之建議………………….…….…………………. …… 73
第二節 本研究之限制………………………............. .….…….……... 74
參考文獻…………………………………………………………………….... 75
附錄…………………………………………………………………………… 83
附錄一 行為過程記錄………………………………………………… 83
附錄二 參與研究同意書……………………………………………… 88
附錄三 研究倫理委員會審查通過函………………………………… 89





表目錄
表一 資料收集時間表………………………………………………… 31
表二 研究對象基本資料……………………………….………….. 37
表三 胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗…….. ………………………………………………….. …. 38
表四 與國內第二孕期接受終止妊娠之相關研究比較….….……… 67
表五 與國外第二孕期接受終止妊娠之相關研究比較……………… 69

圖目錄
圖一 胎兒異常之孕婦於第二孕期接受終止妊娠之生活經驗………………………………………………………………. 71
dc.language.isozh-TW
dc.subject終止妊娠zh_TW
dc.subject胎兒異常zh_TW
dc.subject生活經驗zh_TW
dc.subject第二妊娠期zh_TW
dc.subjectliving experienceen
dc.subjectfetus abnormalityen
dc.subjectsecond trimester pregnancyen
dc.subjectterminationen
dc.title胎兒異常之孕婦於
第二孕期接受終止妊娠的生活經驗
zh_TW
dc.titleThe Lived Experience of Pregnant Women with
Abnormal Fetus who received termination
during the Second Trimester
en
dc.typeThesis
dc.date.schoolyear95-1
dc.description.degree碩士
dc.contributor.oralexamcommittee鄧素文,楊友仕
dc.subject.keyword胎兒異常,第二妊娠期,終止妊娠,生活經驗,zh_TW
dc.subject.keywordfetus abnormality,second trimester pregnancy,termination,living experience,en
dc.relation.page88
dc.rights.note未授權
dc.date.accepted2007-01-30
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept護理學研究所zh_TW
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