以RU486施行早期人工流產的已婚婦女之決策過程

A Decision-Making Process for Married Women Who Request Early Medical Abortion by Mifepristone

藥物流產法是一種安全、有效且接受度高的早期人工流產法，至今全世界已有近三百萬的婦女使用過RU486來進行人工流產。本研究為現象學研究，旨在探討以RU486施行早期人工流產的已婚婦女之決策過程。共訪談了十二位孕婦，以半結構的方式進行訪談，所有訪談的內容均予以錄音，並以Giorgi的現象學方法來分析所收集到的資料。研究結果顯示，其決策過程可分為：震驚期（憂喜參半、難以啟齒）、尋求資訊期（探索媒體資訊、聽取專家意見、尋求經驗談）、猶豫期 （道德的衝突、對結果的不確定感、害怕藥物對身體的危害）及做決定期（現實因素的考量、身體的掌控、生育的自主權、重要他人的支持）四個階段。而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諮詢或衛教方案。

Medical abortion is a safe, efficacious, and acceptable method for early abortion. To date, approximately 3 million women worldwide have received RU486 (mifepristone) in regimens for abortion. The main purpose of this phenomenological research was to explore the decision-making processes of married women who requested early abortion with mifepristone. Twelve pregnant women were interviewed and audiotaped using a semi-structured method. Giorgi's qualitative method of phenomenology was used to analyze the data. Results revealed four decision-making stages: shock stage (ambivalence and confidentiality), information-seeking stage (mass media, professionals, and friends' opinions), hesitating stage (moral conflict, uncertainty of results, and fear of medication side effects and risk to body), and decision-making stage (consideration of reality, control of body, conceptual autonomy, and significant persons' support). Thoroughly understanding the lived experiences of these women enables nurses to design appropriate counseling and education programs according to clients' needs.