產婦於早產兒住院期間之經驗歷程

The Life Experience of Mothers While Their Prematurely Born Newborns Are Hospitalized

本研究係以質性研究深入探討早產產婦於早產兒住院期間之經驗歷程。研究對象為四位早產產婦，研究方法係運用田野研究法，採觀察者即參與者的方法，以主護護理人員的身份於產婦分娩後24內接觸個案，直到早產兒出院為止。研究者將產婦所表現的語言及非語言行為，於離開產婦後12小時內，寫成行為過程記錄，並以內容分法進行比較及歸類，其結果如下：（一）孕育時空驟然脫序；（二）初嚐產後的失意與挫敗；（三）陷入對早產親兒健康狀況之不確定感；（四）困於無法施展慈母愛的情境中；（五）擔憂無法勝任早產兒母親的角色。本研究結果顯示早產產婦於早產兒住院期間之經驗歷程，此結果有助於臨床護理人員深入瞭解早產產婦於早產兒住院期間之護理需求，並可提供適切之護理照顧。

The purpose of the study was to discuss the life experience of pregnant women whose premature babies were hospitalized. The clinical field research method was adopted in these cases. Four pregnant women took part in this study. The researcher played the role of an observer-as-participant from the birth to the discharge of the premature infants. The spontaneous verbal and nonverbal language and behavior expressed by the cases were recorded in the form of process recordings within 12 hours of the cases leaving the hospital. The themes of life experience of the mothers were identified and categorized by content analysis, which was used to analyze the words and sentences in the process recordings. Five themes of life experience of the preterm mothers were identified and categorized as: (1) suddenly skipping over the space and time of the pregnancy, (2) facing disappointment and frustration after the preterm labor, (3) falling into uncertainty as to the health of the premature infant, (4) being prevented from showing maternal love, and (5) worrying about self-inadequacy in playing the role of the premature baby. It is hoped that the results of this study will help clinical nurses to become more sensitive to the special care needs of mothers who have preterm babies.