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研究生:高詠絮
研究生(外文):KAO, YUNG-HSU
論文名稱:選擇不採用藥物減痛之初產婦於待產期間的經驗
論文名稱(外文):The lived experiences of first time mothers who did not use drug methods to relief pain during labor period
指導教授:高千惠高千惠引用關係
指導教授(外文):KAO, CHIEN-HUEI
口試委員:吳祥鳳盧玉嬴
口試委員(外文):WU, SHIANG-FENGLU, YU-YING
口試日期:2024-01-10
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:護理助產及婦女健康系護理助產研究所
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:2024
畢業學年度:112
語文別:中文
論文頁數:70
中文關鍵詞:初產婦產痛生活經驗
外文關鍵詞:first-time motherlabor painlife experiences
相關次數:
  • 被引用被引用:0
  • 點閱點閱:47
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  • 下載下載:13
  • 收藏至我的研究室書目清單書目收藏:0
研究目的:本研究擬探討初產婦於待產期間選擇不採用藥物減痛的感受與想法。
研究方法:本研究採質性研究方法,以方便取樣,共收案9位初產婦,以半結構式的訪談指引進行一對一的深度訪談,以余等內容分析法加以歸類分析。
研究發現: 本研究發現9位初產婦所提供的資料分析歸類,在待產過程選擇不採用藥物減痛的初產婦們,可以不使用藥物減痛而達成自然分娩的結果,在待產過程中的主要的感受是:「待產過程中是不舒服的,但是相信自己,是有能力撐過去熬過去的。」,可歸納為三個經驗主題,分別為:一、身體深受巨大痛苦;二、努力與疼痛共存;三、佩服自己,完成生產。
結論與應用:婦女懷孕至生產,害怕擔心的就是產痛,待產過程選擇不採用藥物減痛初產婦之生活經驗,她們能以正向的態度面對疼痛,知道很不舒服,但相信自己是有能力,可以熬過去撐過去,完成生產任務,醫護人員了解並深入她們的世界,反思如何在照護上提供這群婦女分娩相關知識及技能,了解她們的需求讓她們在面對宮縮不舒服時能獲得更好的照護品質及經驗感受,是我們努力的目標。關鍵字:初產婦、產痛、生活經驗

Purpose: This study aims to explore the experiences and thoughts of first-time mothers who choose not to use drug to reduce pain during labor period.
Study Design: A qualitative research method was adopted to facilitate sampling, and a total of 9 first-time mothers were recruited. One-on-one in-depth interviews were conducted with semi-structured interview guide, and the data were classified and analyzed by using content analysis.
Findings: The analysis of data provided by the 9 first-time mothers revealed that those who choose not to use drug to reduce pain during labor could also achieve natural delivery. The main feelings during labor were: “The labor process is very uncomfortable, but believe that I am able to get through it.”
It can be summarized into three experience themes, which are:
1. Experiencing intense physical pain.
2. Strive to coexist with the pain.
3. Admire oneself for completing the laboring
Conclusion and Application: From pregnancy to delivery, what women fear and worry about is labor pain. Through the life experience of first-time mothers who choose not to use drugs to reduce pain during labor, we learned that they can face pain with a positive attitude. They know that it is very uncomfortable, but they believe that they are capable to get through it and complete the labor task. Medical staff should understand and go deep into their world, reflect on how to provide these women with knowledge and skills related to childbirth, and understand their needs, so that they can get better care quality and experience when facing uncomfortable uterine contractions, which is our goal.
Keywords: first-time mother, labor pain, life experiences.

中文摘要-----------------------------------------------------------------------------1
英文摘要-----------------------------------------------------------------------------2
第壹章 緒論--------------------------------------------------------------------3
第一節 研究動機-----------------------------------------------------------3
第二節 研究重要性--------------------------------------------------------5
第三節 研究目的-----------------------------------------------------------7
第四節 研究問題-----------------------------------------------------------7
第五節 名詞界定-----------------------------------------------------------7
第貳章 文獻查證--------------------------------------------------------------9
第一節 分娩的意義--------------------------------------------------------9
第二節 未採用藥物減痛的歷程----------------------------------------12
第三節 相關研究----------------------------------------------------------18
第參章 研究方法-------------------------------------------------------------26
第一節 研究設計----------------------------------------------------------26
第二節 研究對象----------------------------------------------------------27
第三節 研究工具----------------------------------------------------------28
第四節 資料收集流程----------------------------------------------------29
第五節 資料分析----------------------------------------------------------33
第六節 研究嚴謹度-------------------------------------------------------34
第七節 倫理層面----------------------------------------------------------36
第肆章 研究發現-------------------------------------------------------------38
第一節 研究對象----------------------------------------------------------38
第二節 待產期間選擇不採用藥物減痛之初產婦經驗探討-------39
第伍章 研究討論-------------------------------------------------------------49
第一節 本研究發現-------------------------------------------------------49
第二節 自己的生產方式自己決定-------------------------------------51
第三節 醫院在職助產師的角色----------------------------------------52
第陸章 結論與建議----------------------------------------------------------54
第一節 結論----------------------------------------------------------------54
第二節 應用與建議-------------------------------------------------------55
第三節 研究限制----------------------------------------------------------57
參考文獻----------------------------------------------------------------------------59
中文部分----------------------------------------------------------------------59
英文部位----------------------------------------------------------------------65

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