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頁籤選單縮合
題名 | 探討初胎孕婦透過立體超音波檢查對胎兒影像的認知行為=A Study of the Cognitive Behaviors of Primigravidas in Relation to Fetal Images Obtained by 3-D Sonography |
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作者 | 周雨樺; 余玉眉; 蔣欣欣; 謝豐舟; 蕭伃伶; | 書刊名 | 新臺北護理期刊 |
卷期 | 3:2 2001.08[民90.08] |
頁次 | 頁51-62 |
分類號 | 419.74 |
關鍵詞 | 初胎孕婦; 立體超音波; 胎兒影像; 認知行為; Primigravidas; 3D sonography; Fetal image; Cognitive behaviors; |
語文 | 中文(Chinese) |
中文摘要 | 隨科技的進步,清晰、明顯的動態立體超音波(3D) 檢查已廣泛被應用於產前檢查 ,以作為胎兒異常篩檢的有效工具。但反觀國內有關此方面的研究極少,尤其是質性研究。 本研究的目的在了解孕婦在 3D 檢查後對胎兒影像的認知行為及其內容是否會隨懷孕週數增 加而有所改變。 本研究計為臨床田野研究法。樣本以立意取樣,收集臺北某醫學中心的 20 位初胎孕婦,於懷孕第 20、 24、32、37 週時接受 3D 檢查。 資料收集採半結構式錄音訪 談,並配合 4-5 張 3D 檢查後的照片,採行為過程記錄。 在 12 小時內,資料採內容分析 法,以歸納,分析及數碼化,並將質性資料量化分析。結果發現,初胎孕婦對胎兒影像資料 的的認知行為,可歸納為三種行為。確認行為出現頻率為最多;佔 78.8 %。其次為比較行 為;佔 16.1 %。再其次為評價行為;佔 5.2 %。 而初胎孕婦對胎兒關注的項目,以胎兒 的身體結構最多;佔 60.9 %,身體功能次之; 佔 19.2 %,再其次為身體狀況;佔 12.2 %,社會性質最少;佔 7.7 %。由本研究結果顯示,3D 檢查不但可協助初胎孕婦了解除經 由胎動和其它感覺來建構胎兒影像外,更能正向引導孕婦了解胎兒的身體結構及外表特徵, 進而確認胎兒的身體功能。同時,孕婦在接受 3D 檢查後,對胎兒影像亦呈現較正向的評價 ,且增進母性及母情行為的發展,對母子情感的連結與懷孕過程的品質有提昇的效果。 |
英文摘要 | With improvements in medical technology, the transparent and vivid motion of 3-D sonography has been widely applied in antenatal examination. However, little research has been done in Taiwan regarding 3- D sonography, and especially qualitative research. The purpose of this study was to understand whether or not the cognitive behaviors of primigravidas would change with increasing gestational age after viewing fetal sonographic images. The design was based on clinical field research. Purposive sampling was used to collect data from 20 primigravidas who had 3-D sonography at their 20 �說A24 �說A32,and 37 �� weeks of gestation in a medical center at Taipei area. Semi-structured interviews were conducted and recorded. During the interviews, the women viewed four to five 3-D sonongraphic photos of their fetus. A process recording was done during the interview to understand these women's responses to seeing 3-D sonographic photos. Data were then summarized, analyzed, and digitized 12 hours after the invterview using dexcriptive qualitative analysis. Three categories of cognitive behaviors were identified from the analysis: "Orienting behavior" occurred most frequently (78.7% of the behaviors). "Comparative behavior" accounted for 16.1% of the behaviors, while "assessment behavior" accounted for only 5.2% of the behaviors. This study also found that primigravidas responses to the fetal images could be categorized into four concerns. Participants were primarily concerned about the physical structure of the fetus (60.9%) of the participants. The next three concerns in order of frequency were fetal physical function (19.2% of the participants) , physical condition (12.2% of he participants), and social quality (7.7% of the participants). In conclusion, this study revealed that viewing 3-D sonographic fetal images offered reassurance to primigravidas by helping them understand fetal development and activity, including fetal body structures, traditional fetal movements, and fetal physical function. After 3D sonography, primigravidas had positive impressions about fetal images. These positive impressions may foster the development of the mother-fetal relationship and help improve the maternal-fetal emotional link and the quality of the pregnancy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。