| Summary: | 碩士 === 國立臺灣大學 === 護理研究所 === 83 === The purpose of this study is to understand the actual living conditions of those pregnant women who are undergoing bed rest and tocolysis. We also want to know these women cope with the difficulties that arise from bed rest and tocolysis. We will see all these through the eyes of these women.
This study utilized the "observer as participant" method to collect information. The study began on the inital day of the pregnant woman''s hospitalization and continued on for two weeks. Every morning, during this study period, the researcher served as a primary nurse and collected the needed information regarding the bed rest woman''s condition for about two to three hours. 12 hours after leaving the subject, the words and the behaviors expressed by that pregnant woman were recorded down, that became our process recording which was analyzed later. In our study, we had collected information on four pregnant women, who were 26-32 weeks pregnant. Three of these women sufferd from uterine contractions and the other one preterm rupture of amniotic membrane. These four women''s 48 process recordings ( 525 pages) were analyzed using theories from hermeneutic phenomenology. We have the following results:
There were four main themes of living conditions experienced by these bed rest women; they were: 1) discontinuity from their ordinary living condition; 2) uncertainty about the present linving condition; 3) lake of personal control in life; and 4) sense of confinement within this time and space. These women''s coping behaviors could also be categorized into four themes: 1)re-orientation of the present living situation; 2) making sure and protect the baby inside of their body is safe and growing; 3) adjusting to the bed rest life; and 4) sustaining and supporting herself to go on.
Pregnant women''s situations and their coping behaviors were forever changing with time. Aside from the sudden discontinuity from their ordianary living conditions and re-orientation the present living condition in the early stage of their hospital stat, and after one week of hospitalization these women started to feel trapped, other situations and coping behaviors followed no particular time pattern.
When comparing the maternal task of ordinary pregnant women and the women in our study, we found:
Women who underwent tocolysis executed their maternal task differently from ordinary pregnant women. Timing wise, the women in our study were mostly concerned about the safty of their baby, identifying with the baby and helping other membres of the family to accept the baby will have to come later. Their concern: uncertainty of their baby''s condition; they would like other people to by more supportive of them, their family live and their emotions; they had greater devotion to their pregnancy than most pregnant women. They sacrificed greatly in the areas of physical comfort, living situation, quality of family life, and relationships with other family members.
When comparing this study with other studies on similar topics, we found:
Women who underwent tocolysis were separated from their family, worried about their family, bored, and losing control of their life. These situations created a lot of stress for these women. The level of disturbance is no less than the disturbance brought on by the change in their pregnancy. It is imperative that aside from medical help for these women, we should help these women to maintain their bonds with other family members, adjust to their hospital life, eliminate their loneliness and boredom, and help their family members to lead a normal life.
The results of this study could become a reference material for the obstetrical department''s nursing staff who are currently taking care of women undergoing tocolysis.
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