一個育有三胞胎早產兒家庭之壓力調適經驗

The Adaptation Experience in a Case of Family Stress Generated by the Birth of Premature Triplets

本文以家庭護理的方式，照護一位接受人工生殖技術而生育三胞胎早產兒的產婦，當早產兒自醫院返家三個月後其家庭之壓力調適。研究者於健兒門診時即提供早產兒照護諮詢，並採觀察者即參與者居家訪談的方式進行此家庭資料收集，護理期間從民國91年3月6日至6月16日，共9次家訪，3次電訪，每次的訪談內容皆寫成行為過程記錄，採內容分析法，將行為過程記錄中的資料加以有系統的分析、歸類。由資料歸類出此家庭之壓力調適，共四個主題：（一）確保並促進孩子能使康的生長。（二）重新建構有效的家庭資源系統。（三）期待早產兒獲得親友的認同與肯定。（四）重新思考家庭未來之規劃。本研究結果，可提供護理人員，更能了解多胞胎早產兒返家後，能考量以家庭為整體之照護模式，俾運用家庭可用的資源，協助家庭共同迎接與養育多胞胎早產兒。

The purpose of this study was to examine the adaptation of a family whose parturient mother had given birth of premature triplets following artificial insemination. The researcher came into contacted with the family at the pediatric outpatient service and provided care immediately. Data were collected by participant observations and interviews. There were nine home visits and three telephone interviews performed in the period from March 6th to June 10th, 2002. Records of proceedings were written up after every interview; the records were analyzed and classified systematically. From the data, four themes of family stress adaptation emerged: Ensuring and facilitating the healthy development of the children, reconstructing the effective resources of the family, wishing for affirmation of the premature triplets by relatives, reconsidering the future of the family. The results of this study may enhance nurses' understanding of the adaptation of families to stress generated by premature triplets. Nurses may apply family centered maternity care to deal with such cases. The families concerned will then be able to raise their confidence about welcoming and caring for premature triplets.