憂鬱症婦女抉擇懷孕之經驗

The Experience of Decision Making on Pregnacy forWomen with Depressive Disorders

懷孕生子是一項不可置否的女性獨特功能。即使是罹患精神疾病的婦女，也有生育的需求及顧慮。.本研究目的為了解憂鬱症患者在抉擇懷孕時的生活經驗。於北部某醫學中心精神科門診，經由醫師轉介，立意取樣，以現象學研究法進行半結構開放式訪談，共得八位參與者。會談內容採用Giorgi的經驗現象分析，結果歸納為三個主要概念：生育與不生育的兩難、放棄新生命的無奈、母職角色的重構。研究結果能深入了解患者面臨抉擇懷孕時所呈現的心路歷程，並能增進從事心理衛生健康照護者之相關知識，以期發揮專業角色功能，提供更適切的護理照顧。Childbearing is a unique experience for women. The associated worries are universal and inevitable. For those with mental illness, this issue is even more complicated. The purpose of this study was to learn how depressed women thought and felt when they had to decide on whether they want to get pregnant or not. Eight outpatients diagnosed with depressive disorders in a northern medical center were included in this study. Every participant was interviewed by a semi-structured probe, and the whole process was tape- recorded. The interview data were transcribed verbatim from audiotape . Transcriptions were analyzed using empirical phenomenological steps adapted from Giorgi. Three major concepts were generated from the interview data. These themes were: whether they should have a baby or not; what to do if child-bearing seems impossible; and what to do once the mother role has been reconstructed. The results not only help health care providers work closer with depressed women when they have to face the choices among pregnancy issues, but also help provide better care.