Su T J, Yang Y L, Teng S W
School of Nursing, College of Medicine, National Taiwan University, Taipei, Republic of China.
Kaohsiung J Med Sci. 1997 Dec;13(12):757-63.
The purposes of this study were to explore the women's experience and adaptative behaviors when they suffered from in vitro fertilization failure. Under a survey designed using purposive sampling, 30 IVF fertilization failure women were recrutied. A semi-structured interview guide was developed for data collection. When the subjects were informed for the IVF fertilization failure, they were interviewed and data were collected. All data were translated in a narrative form and analyzed by content analysis. The results showed there were four types of experience and each of them had different adaptative behaviors: (A) They were disappointed and confused to the fertilization failure; they coped by accepting the fate, decreasing the expectation, looking for the failing factors, and looking for the successful factors. (B) They felt painful during the treatment course; they coped by reviewing the treatment course, having a rest, doing something that they had delayed, and planning to go ahead. (C) They felt unfair to the outcome of the effort; they coped by blaming the fate, wanting to change the mode of treatment, or by refusing to accept the treatment again. (D) They did not know what to do next; they coped by avoiding the fact or searching for more consultation. The findings can be used to establish a nursing care standard for the IVF fertilization failure women. Accordingly, the nurses can help the infertile women to recover from their grief and restitute a positive prospect of their future lives.
本研究旨在探讨女性在体外受精失败时的经历和适应行为。采用目的抽样设计的一项调查中,招募了30位体外受精失败的女性。开发了一份半结构化访谈指南用于数据收集。当受试者被告知体外受精失败时,对她们进行访谈并收集数据。所有数据均以叙述形式呈现,并通过内容分析进行分析。结果显示有四种经历类型,且每种类型都有不同的适应行为:(A) 她们对受精失败感到失望和困惑;通过接受命运、降低期望、寻找失败因素和寻找成功因素来应对。(B) 她们在治疗过程中感到痛苦;通过回顾治疗过程、休息、做一些之前推迟的事情以及计划继续前进来应对。(C) 她们觉得努力的结果不公平;通过责怪命运、想要改变治疗方式或拒绝再次接受治疗来应对。(D) 她们不知道接下来该做什么;通过回避事实或寻求更多咨询来应对。这些研究结果可用于为体外受精失败的女性建立护理标准。相应地,护士可以帮助不孕女性从悲伤中恢复过来,并恢复对未来生活的积极展望。