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研究生:黃瑜琛
研究生(外文):Yu-Chen Huang
論文名稱:初次接受產前母血唐氏症篩檢陽性反應婦女之懷孕生產經驗
論文名稱(外文):Experiences of Pregnant Women with Positive Reactions to Maternal Serum Screening for Down’s Syndrome
指導教授:蔣欣欣蔣欣欣引用關係
指導教授(外文):Hsien-Hsien Chiang
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床護理研究所
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:2004
畢業學年度:92
語文別:中文
論文頁數:118
中文關鍵詞:產前母血唐氏症篩檢田野研究經驗
外文關鍵詞:maternal serum screeningField studyExperience
相關次數:
  • 被引用被引用:3
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  • 下載下載:84
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中文摘要
台灣目前國內各醫院,都在大力推廣母血唐氏症篩檢工作,對孕婦本身而言,母血唐氏篩檢是一種安全、無侵害性的檢查方法,故一般孕婦的接受度頗高。
本研究為田野研究,旨在探討初次接受母血唐氏症篩檢結果為陽性反應對婦女的意義,以及這些婦女的懷孕生產經驗。本研究共收取十一位母血唐氏症篩檢陽性反應的婦女及其配偶九位接受訪談,採用開放式問句及半結構式方式進行訪談,所有訪談內容均予以錄音,並以內容分析法分析資料。 結果萃取出五個主要概念: 一、確保胎兒健康安全:接受篩檢求心安、企圖通過羊膜穿刺的關卡、重現曙光。二、感受到母子健康遭受威脅:對母血篩檢的結果感到錯愕茫然、接受羊膜穿刺術的擔憂及抉擇。三、尋求支持的力量:配偶的支持、胎兒的支持、靈性支持、醫療資源支持。四、面臨醫療抉擇的困惑:來自親友的不同意見、對醫療資訊的不確定性。五、達成母性任務:親眼目睹後的釋懷、關注新生兒健康。
護理人員經由深入瞭解這些婦女的生活經驗,則可依照個案的需求,來設計適當的遺傳諮詢,以提供婦女懷孕生產時適當的支持。
關鍵詞:產前母血唐氏症篩檢,田野研究,經驗
Abstract
Most hospitals in Taiwan nowadays have strived to promote maternal serum screening which is recognized as a safe screening method and is accepted by most of pregnant women.
The purpose of the study was to explore the feeling and the childbirth experiences of the pregnant women with positive results from maternal serum screening. In this study, the researcher interviewed eleven pregnant women with positive results from maternal serum screening and nine of their spouses through open questions and semi-instructure interview. The interview date was type-recorded and transcribed, then analyzed by content analysis method.
Five main concepts were included in this study. 1. The confirmation of infant’s health and safety: make a check through Maternal serum screening to try to comfort the worried mother; expect to have a pass from amniocentesis; feel relieved after being informed the result of amniocentesis is normal. 2. The threat to the health of mother and infant: feel puzzled about the meaning of maternal serum screening; worry about the danger of amniocentesis; make a decision to accept amniocentesis. 3. The search for support: look for support from husband, infant and religion and medical resources. 4. The confusion toward medical: be influenced by the opinions of relatives and friends; be unsure of medical information. 5. Maternity: feel relieved after giving a birth; care about the health of infants.
Nursing staff can design appropriate genetic counseling catering for pregnant women’s demand by means of thoroughly understanding their experiences of daily life, and further provide them with proper aid during their pregnancy and childbirth.
Key words: maternal serum screening;Field study;Experience
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