https://scholars.lib.ntu.edu.tw/handle/123456789/157190
標題: | The Meaning of “Seeking Conception” in Infertile Women’s Life Experience during in Vitro Fertilization Treatment. 『尋求受孕』對接受生 殖科技治療婦女之生活經驗意義 |
作者: | 蘇燦煮 陳月枝 SU, TSANN-JUU CHEN, YUEH-CHIH |
關鍵字: | 不孕症;生活經驗;意義;現象學 | 公開日期: | 2001 | 期: | n.1 | 起(迄)頁: | 10-18 | 來源出版物: | 台灣醫學,v.5 | 摘要: | 本研究目的為深入了解不孕婦女在接受生殖科技治療期間,其尋求受孕之生活經驗的 主要意義為何?及其情境脈絡(context)為何?以現象學探究的研究設計,研究情境 為一所二千床之醫學中心,研究對象為完成一個月生殖科技治療之不孕婦女,以立意 取樣,共得十五位研究個案。研究者以參與性的觀察,一面直接提供個案護理服務, 並一面收集資料,將每位個案在一個月治療中與醫療環境互動過程的語言與非語言行 為,以行為過程記錄成文字資料,每位個案各有七至八次之資料收集,每次約一至二 小時。此資料經現象學之解釋性研究的三個策略分析;包括主題分析、特例與典範案 例,歸類出生活經驗的類目。研究結果發現不孕婦女在治療週期中,其〝尋求受孕〞 之生活經驗所具有的意義為:(1)生命歷程的生育完整性--期待完美的生育功能﹔(2) 生命歷程的自我主宰--取捨與平衡於全權託付與自我主宰生育功能之間﹔(3)生命歷 程的改變--衝破與脫離不孕的困境及(4)生命歷程的成長--認定自己是一位母親,由 為人子女增長至為人母之發展任務。由於這四種獨特性之意義,個案們對於〝受孕〞 寄予最大的希望,而有勇氣渡過這艱辛的一個治療週期。本研究結果,可協助醫療人 員了解並設身處境地體諒患者之生活經驗,提供人性化的醫療服務。並激發患者之潛 能,使其解除、面對或超脫不孕之困苦,以確實執行二十一世紀所提倡的醫療科技與 人文醫學的整合。The purpose of this study was to explore the meaning of “ seeking conception”in the infertile women’s experience during in vitro fertilization (IVF) treatment. A phenomenological approach was adopted for the study. With purposive sampling, fifteen subjects were selected for in -depth interview. In accordance with the treatment courses, one month in each cycle, there were seven to eight times for data collection. Data from in-depth interview were analyzed based on the interpretive research strategies of phenomenology. Four key themes emerged from the data: (1) gestalt of conception: expecting the gestalt of conception, including pregnancy, delivery, and rearing children; (2) self-mastery: balancing between entrusting and self-astery, including self arrangement, management , and self control versus entrusting high technology and the medical team; (3) changing self- image: breaking away from the infertile self- image and shifting to the fertile status; and(4) growing self: changing identity from a woman to a mother. The results suggest that the medical team should be aware of the insights of infertile women and foster the transition to fertility with appropriate nursing care. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/166068 |
顯示於: | 護理學系所 |
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