住院安胎期間男性配偶所面臨的困境

Difficulties Facing Spouses of In-Patients Undergoing Tocolysis

孕婦在懷孕過程中出現危機必須接受安胎治療時，對於家庭生活運作、夫妻以及家庭成員間的角色關係常造成很大的衝擊，甚至影響家庭系統的恆定狀態。對安胎孕婦而言，配偶是重要支持者，配偶的支持是安胎孕婦繼續堅持下去的原動力。但由於男性給一般人的印象是權力與意見的掌控者，被期待要積極、要堅強，所以，男性配偶通常表現得較為壓抑情感，不輕易向他人表達心中想法。此種男性的特質，在中外皆有文化的普遍性，也使得護理人員在照護過程中，無法清楚的評估到配偶的需求。現今的照護理念強調以家庭為中心的護理，個案的家庭成員也應納入照護範圍，特別是安胎孕婦配偶在治療過程佔有重要的角色，但常常被忽視。因此，本文以安胎孕婦配偶為討論主題，分析配偶之男性特質、男性在家庭中扮演的角色、以及配偶於妻子住院安胎期間的所面臨的困境，以作為臨床照護的參考。

When a pregnant woman needs tocolysis to preempt the need for an abortion, there are great impacts on the daily life of her family and on the relationships between the couple and their family members, which negatively influence the balance of the family system. For a pregnant woman under tocolysis in hospital, the spouse indeed plays an important supportive role in helping her to endure many difficulties. Because men are always controllers of power and opinion, being strong and active in attitude to everything, male spouses always suppress their emotions and do not express their feelings to others. These characteristics of men, either in Eastern or Western countries, always cause nursing staff to realize the needs of the male spouse poorly during tocolysis. The current concept of nursing emphasizes family-centered nursing, so the patient's family members are also recipients of treatment, especially male spouses during the process of tocolysis. This is usually neglected, however. In this paper, the author analyzes the characteristics and the roles of male spouses in the family, and the difficulties faced by a pregnant woman during tocolysis in hospital, for the benefit of future clinical nursing practice.