罹患乳房膿瘍婦女持續哺乳之經驗

The Continued Breastfeeding Experiences of Women Who Suffer From Breast Abscess

背景：泌乳期有高達11%乳房發炎的婦女會發展成乳房膿瘍，顯著影響母乳哺育，是潛在重要的婦女健康議題。乳房膿瘍的症狀使婦女經歷強烈的疼痛，疼痛是最主要導致中止母乳哺餵之因素。瞭解持續哺育乳房膿瘍婦女之經驗，可作為協助類似經歷婦女之參考。目的：探討泌乳期婦女從罹患乳房膿瘍至治療期間持續哺乳之經驗。方法　採質性研究，於2012年4月至6月在某醫學中心婦產科門診，以半結構性訪談指引進行60-90分鐘訪談，共選取10位婦女，每位婦女訪談兩次，訪談所得資料寫成逐字稿，並以內容分析法進行資料分析與歸納。結果　歸納七主題，分別為㈠歷經乳房疼痛之不適；㈡面臨處理症狀求助無門之感慨；㈢仰賴為母信念堅持哺乳；㈣震驚乳房膿瘍之診治過程；㈤游移於持續哺乳或放棄之抉擇；㈥感受支持系統之助力；及㈦重返正常生活節奏。結論／實務應用　本研究結果有助於護理人員深入瞭解乳房膿瘍婦女面臨泌乳期乳房膿瘍時，生、心理與社會支持系統之行為反應，及其面臨醫療處置之經驗，可作為護理人員提供符合婦女哺乳照顧需求之參考。

Background: Up to 11% of women with mastitis develop a breast abscess, which obviously affects breastfeeding. Therefore, this is a potentially significant issue for women’s health. Women with breast abscesses suffer from severe pain. Pain is the most significant factor causing the termination of breastfeeding. The experience of women with breast abscesses who continued to breastfeed may provide valuable insights / guidance to women who are currently in the same or similar situations. Purpose: This study explores the continuous breastfeeding experience of women with breast abscesses. Methods: We collected qualitative data from 10 qualified female participants using 60-90 minute, in-depth interviews that were conducted between April 2012 and June 2012 in a central medical center. All interviews were recorded and transcribed verbatim. Content analysis was used to analyze and categorize the major themes. Results: Results were generalized into the following seven themes: (1) experiencing uncomfortable breast pain; (2) feeling helpless to manage the abnormal breast symptoms; (3) relying on the concept of motherhood to support continued breastfeeding; (4) feeling shocked about the process of diagnosis and treatment; (5) facing the doubts and difficulties regarding continuing to breastfeed; (6) experiencing the assistance of the support system for breastfeeding; (7) returning to a normal pattern of life. Conclusions / Implications for Practice: The findings provide nurses with a deeper understanding of the biological and psychological behaviors and social support system experiences of women with breast abscesses who continue to breastfeed. Study results may serve as a reference for nurses in providing mother-centered breastfeeding care.