| Summary: | 碩士 === 國立臺灣大學 === 護理學系研究所 === 86 === The purpose of this study was to explore life situations and coping
behaviors of women suffering from recurrent spontaneous abortions who then
conceived successfully to second trimester.
The design of this qualitative study was by method of clinical field
study, using purposive sampling. Six women with recurrent spontaneous
abortion experiences were enrolled in this study and observer as participant
approach was employed. After choosing the study subjects, researcher acted as
a primary nurse to each subject and started to contact them from their
initial medical visit (about the 6th gestational week) to the 24 week of
gestation. During this time providing required education and services at
periodic check-ups and telephone interviews about every two weeks. Seven to
nine contacts were made for each subject and subject''s vocal and non-vocal
behaviors will be documented after each contacts as narrative process
recordings. The data were further analysis by content analysis. The results
of this research were as followed :
Four main themes of life situations experienced by these women were :
1)Experiencing uncertainty about the safety of pregnancy ; 2) Hobbling about
the reestablishment of normal life pattern ; 3) Experiencing protracted life
span ; 4) Frustrating by differences between ideal and reality.
Their actions taken to help them cope with experienced life situations can
be categorized into three items : 1) Self re-orientating the present
situation ; 2) Gearing-up for a safe pregnancy, and 3) Adjusting and
sustaining herself to go on.
From the results of this study we can further understand the thoughts,
feelings and attitudes of these women who experienced recurrent spontaneous
abortions and then able to provide them with their needs. This will enable
clinical nurse to offer more appropriate cares.
Key words : recurrent spontaneous abortion ; pregnancy ;
second trimester ; life situation ; coping behavior
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