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研究生:陳月春
研究生(外文):Chen, Yueh-Chuen
論文名稱:超過預產期並接受引產之初胎孕婦於等待生產期間的生活處境與因應行為
論文名稱(外文):Living Situations and Coping Behaviorss of Overdue Nullipara Women Before The Birth of The Child
指導教授:余玉眉余玉眉引用關係
指導教授(外文):Yu-Mei Yu Chao
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:護理學系
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:150
中文關鍵詞:過預產期初胎孕婦引產生活處境因應行為
外文關鍵詞:Overdue Nullipara WomeninductionLiving SituationCoping Behavior
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本研究之目的是站在超過預產期初胎孕婦的觀點,瞭解孕婦在等待生
產期間的生活處境以及面對處境所採取的因應行為。採用田野研究法,以
觀察者即參與者之角色配合無結構性訪談,於孕婦懷孕過預產期開始至住
院接受引產第一產程潛伏期結束為止,以護理人員身份提供所需的照顧並
進行資料收集,共收集六名孕婦。以內容分析法將語言行為有系統的分析
、歸類,研究結果分兩個階段加以描述:第一階段:從超過預產期到住院
以前。第二階段:從住院開始到接受引產第一產程潛伏期結束。初胎孕婦
於第一階段的生活處境有四大處境:受困於難熬的等待生產時空裡、面臨
生活次序及規畫被打亂的衝擊、不確定自身與胎兒能否安全且順利地度過
孕產過程、處於渴望儘早生產又期盼能免於催生的矛盾境況裡。因應行為
有:重新確認等待生產的處境、調整等待生產的生活、確保自身與胎兒的
生產安全順利、自我調適減輕心理負荷。第二階段的生活處境有:面臨生
產方式的抉擇、面臨身體完整性受破壞的威脅、處於引產狀況與預期不相
吻合之境況、受困於疲憊的身體、面臨生存上的不確定。因應行為有:權
衡不同生產方式的利弊得失、努力裝備自我、確保胎兒安全及生產順利、
設法減少催生對孩子未來的影響、努力支撐下去。 第一階段的生
活處境與因應行為沒有一定的時間順序。第二階段的生活處境與因應行為
則有時序性,生活處境中不確定自身與胎兒能否安全順利地度過孕產過程
,貫穿於兩個階段,第二階段生活處境中受困於疲憊的身體及面臨生存上
的不確定,常出現在引產第二以天以後。研究結果顯示,初胎孕婦在懷孕
超過預產期等待生產及住院接受引產期間相當艱辛而難熬,但她們卻是那
麼努力地面對。本研究可供護理人員實際照顧過預產期初胎孕婦的參考,
藉著對孕婦生活處境及因應行為的瞭解,能夠為孕婦所處的時空做定位,
以提供適時適地的護理。

The purpose of this study was to explore the living
situations and coping behaviors of overdue nullipara women
before the birth of their child. Fieldmethod "obser as
participant" was undertaken and six cases were studied.
Allverbal and non-verbal behaviors from the expected dates of
delivery to latent phase of the induced labor were recorded by
interview. Data were systematically analyzed and categorized by
using content analysis. The first stage of datacollection was
initiated from the expected date of delivery to the admission of
hospital for induction. The second stage of data collection was
started from the beginnings of induction to the latent phase of
labor. After data analysis,Four living situations were
identified in stage one :feeling difficulty from waiting labor
initiation, disorganized living arrangementfrom unexpected false
labor, uncertainty and insecurity about the safety of selfand
fetus during labor course, and ambivalence choice between
waiting for naturebirth or taking induction of labor. On the
other hand,coping strategies during first stage included : re-
identify living condition,readjust to living situation while
waiting for labor, ensuring the safety of self and fetus during
labor and delivery, changed self perception to alleviate the
psychological distress whilewaiting. In second stage , Five
living situations were identified : decision-making on methods
of giving birth , facing threatening body intactness,
mismatchedexpected labor process and induction condition,
trapped on fatigue body, andfacing uncertainty of labor outcome.
In addition, the coping strategies duringthis period were : to
justify the pros and cons of different childbirth methods, to
prepare self-readiness for labor, to ensure the safety of fetus
and thesmoothness of labor process, to try to elevate the impact
of induction to fetus,and to continually sustain or support
themselves to go on. This finding inducates that there were
no particular orders in terms of living situations and coping
behaviors in the first stage. But, in the secondstage, the
living situations and coping behaviors surfaced chronologically.
However, the insecurity feeling about the upcoming childbirth
and fetus well-being existed in both stage. The data also
indicated that trapped on fatiguebody, uncertainty about the
labor outcome, and insecurity about their safety occured in the
next day after the initiation of induction. This study also
showed that overdue nullipara women suffered a great con-flict
whether they should wait for natural labor or accept the
induction process.However,they took the process bravely and were
able to make decision base on thesecurity of self and the fetus.
The study result could provie useful information for nurse to
enhance the care for overdue nullipara women. By understanding
those women's living situations and coping strategies, nurses
can identify overdue women's needs and enhance quality of care
to those women.

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