原名「台灣學術線上」
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題名:台灣婦女更年期經驗之探討-處於健康多變化的時期    
Living with Changing Health: Perimenopause among Chinese Women in Taiwan
著者:曹麗英(Lee-Ing Tsao)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:更年期 ; 停經 ; 婦女健康照護 ; perimenopause ; menopause ; women's health care
刊名:護理研究
卷期:6卷6期(1998.12)
頁碼:448-460
語言:繁體中文
摘要:
本研究係採紮根理論(grounded theory)研究法。研究目的為建立有關婦女更年期生活經驗的描述性理論。以深入訪談方式對35位台灣婦女進行訪談更年期的生活經驗;而這些婦女年齡為40至59歲,自認為已進入更年期且未採用荷爾蒙治療者。“處於健康多變化的時期”為此更年期生活過程的核心類屬(core category),其引導整個更年期生活。“自我察覺”為先驅條件(antecedent condition)當婦女察覺其身心變化時,即進入“處於健康多變化的時期”, 的生活過程。在此過程中更年期婦女會有以下五個互動行為類屬:“複雜的感受”、“尋找解答”、“妥協”、“追求較好之生活”、“持續”。最後,更年期婦女認為更年期過程是一個“自然人生過程”,但此過程亦是一個“處於健康多變化的時期”。對臺灣婦女而言,整個更年期過程是一個“自然人生過程”,但並非相安無事的時期。護理人員應敏說察覺更年期婦女的護理需求,關注更年期婦女個案是處於一個真正寧靜的時期,還是處於一個表面看似寧靜但實際是暗濤洶湧需別人協助的人生過渡期。更年期婦女護理最重要的任務是協助婦女如何調適其健康狀態的轉變。
The purpose of this qualitative study was to generate theory about women's perimenopausal life experiences. Thirty-five Taiwanese women aged 40 to 59 who perceived themselves as perimenopausal and who were not using hormone therapy were interviewed. Data were generated from interviews which were conducted in Mandarin. 'Living with Changing Health' was the core category for describing and guiding the process of perimenopause. During this process, 'Self-awareness' was identified as the antecedent condition. Once the woman became aware, she would begin the process of 'Living with her Changing Health'. This process would be marked by action and interaction among the categories of 'A Complex Feeling', 'Searching for Answers', 'Compromising', 'Pursuing the Better Life', and 'Keeping on'. Throughout this process women viewed perimenopause as 'A Natural Life Process' during which they 'lived with their changing health'. Although for Taiwanese women perimenopause is 'a natural life process', it is no longer a silent passage. Nurses should be sensitive to mid-life women noting if there is peaceful and silent passage or if there is hidden turbulence beneath their apparently peaceful lives. Helping them to 'live with their changing health' is the most important issue for the care of Taiwanese perimenopausal women.




本卷期目次
護理研究 6卷6期 (1998.12)
台灣婦女更年期經驗之探討-處於健康多變化的時期/ 曹麗英
重症病人接受腸道營養初期發生腸道不適應症之影響因素及因應策略之探討/ 邱艷芬
探討手術後病人對疼痛護理及疼痛控制的滿意度及其影響因素/ 陳淑如林佳靜鄭綺何善台
失能老人家庭尋找平衡點的照顧過程及相關因素探討/ 王玉女徐亞瑛姚開屏吳淑瓊
心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討/ 葉玫伶邱艷芬
以多元化方法探討出院過渡期脊髓損傷病患家屬角色緊張與需求/ 酒小蕙
穴位按摩法對部腹產後促進腸蠕動療效之初探/ 陳麗麗王純娟蔡秀珠
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