Spear Hila J
Liberty University, Lynchburg, VA 24502, USA.
Public Health Nurs. 2004 Jul-Aug;21(4):338-46. doi: 10.1111/j.0737-1209.2004.21407.x.
Results not discussed in a previously published qualitative study (Spear, 2001) are presented in this article. Analysis of the personal narratives of eight pregnant adolescents who attended an alternative school for pregnant teens yielded the following categories: decision making, contraceptive behavior and sexual attitudes, and future expectations. The findings revealed that decisions regarding pregnancy were made with little deliberation and some participants implied that pregnancy was planned. Although knowledgeable about how to prevent pregnancy, participants did not consistently practice contraception and their sexual experiences were marked by indifference and lacked intimacy. Future expectations consistently included support from the fathers of their unborn children. Implications for nursing practice and further research are discussed.
本文呈现了先前发表的定性研究（斯皮尔，2001年）中未讨论的结果。对八名就读于怀孕青少年替代学校的怀孕青少年个人叙述的分析产生了以下类别：决策、避孕行为和性态度以及未来期望。研究结果显示，关于怀孕的决定是在很少深思熟虑的情况下做出的，一些参与者暗示怀孕是有计划的。尽管了解如何预防怀孕，但参与者并没有始终如一地采取避孕措施，他们的性经历以冷漠为特征且缺乏亲密感。未来期望始终包括未出生孩子父亲的支持。文中讨论了对护理实践和进一步研究的启示。
