以RU486施行早期人工流產的已婚婦女之生活經驗

The Lived Experiences of Married Women Who Request Early Medical Abortion with RU486 (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，旨在探計以RU486施行早期人工流產的已婚婦女之決策經驗及其施行人工流產過程中之生活經驗。共訪談了十二位孕婦，以低結構的方式進行訪談，所有訪談的內容均予以錄音，並以Giorgi現象學方法分析所收集到的資料。結果萃取出三個主要的概念：抉擇的擺盪（包括：道德的衝突、對結果的不確定感、害藥物對身體的危害）、女性的自我觀（包括：生育自主權、身體的掌控、身體的完整性）及錯綜複雜的情緒反應（包括：出乎意料之外、難以啟齒的秘密、失落感、缺乏耐性、孤獨感）。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設計適當的諮詢或衛教方案。

Early drug-induced medical abortion is a safe, effective, and well-accepted method. To date approximately 3 million women worldwide have used RU486 (mifepristone) in regimens for abortion. The main purpose of this phenomenological research was to explore the decision-making experiences and the lived experiences of married women who request early medical abortion with RU486. Twelve pregnant women consented to participate in this research. The participants were interviewed and audiotaped in a low-structured way. Giorgi's qualitative method of phenomenology was used to analyze the collected data. The major findings of this research were that three essential concepts emerged, as follows: swings in decision-making (including moral conflict, uncertainty, and fear), women's selfhood (including conceptional autonomy, bodily control, and bodily integrity) and complex emotional responses (including surprise, embarrasment, loss, impatience, and loneliness). Thoroughly understanding the lived experiences of these women enables nurses to design appropriate counseling and education according to clients' needs.