本研究目的為探討妊娠糖尿病婦女在接受篩檢與確立診斷期間，由產前到產後整個懷孕歷程的生活經驗。採詮釋現象學研究法，以立意取樣，選取十二位罹患妊娠糖尿病的婦女，以半結構式訪談指引進行二次訪談，第一次訪談於妊娠24週確定妊娠糖尿病診斷後進行，第二次訪談於產後六週進行。透過主題分析法分析與歸納出妊娠糖尿病婦女懷孕歷程的生活經驗與感受為：「聚焦」、「情緒的轉變」、「生活的框架」與「守護與責任」四個主題。婦女無預期地被診斷為妊娠糖尿病，開始會思索病因，確認問題，尋求答案，因而透過各種管道尋求資源，希望能瞭解妊娠糖尿病。隨著懷孕進展，感受到疾病威脅，出現情緒轉變，生活受控制，為了孩子的安全而選擇勇敢面對疾病之控制，並盡力奉獻，這些對妊娠糖尿病婦女而言，乃是歷經了一次與過去截然不同的生活經驗。妊娠糖尿病篩檢告知與產後追蹤執行上是需值得關切，前者告知過程會影響婦女之身心社會反應，而產後追蹤易被忽略。透過本研究讓臨床醫護人員能更瞭解妊娠糖尿病婦女除了醫療照護需求外，她們所闗注的焦點、情緒的衝擊以及面對疾病的感受與因應策略都須重視，以使所有孕產婦均能獲得更完善的周產期照護。

The purpose of study was to explore the lived experience of women with gestational diabetes mellitus (GDM) from intra-partum to post-partum. The methodology of this study was grounded in the hermeneutic phenomenology of van Manen. A purposive sampling procedure was used to recruit participants. Each participant was interviewed at least two times using an in-depth, face-to-face interview. A semi-structured interview guide was used to collect data. The first interview was conducted around 24 weeks of pregnancy after women with a diagnosis of gestational diabetes mellitus; the second interview occurred at six weeks post-partum. A thematic analysis was applied to analyze all of interview data regarding the lived experience of women with gestational diabetes mellitus. Four themes were merged: (1) focusing, (2) mood transition, (3) life framing, (4) defend and responsibility.
The pregnant women were diagnosed gestational diabetes mellitus, and then they would all begin to ponder attribution of the disease, identify the problem, seek for the answers. Therefore, they search the information from every method, hoping to understand what gestational diabetes mellitus is. As the progress of pregnancy, they feel the threat of disease, have the transform of emotions, and living a controlled pregnancy. For the safety of the baby, courageously face with gestational diabetes mellitus, and doing all they can. The experience was one time different life experience for the gestational diabetes mellitus women. The screening informs and the follow-up after postpartum of gestational diabetes mellitus require more concern, while the former would affect the women’s physical and psychological reaction to the society, and the latter would be neglected. The research enables the healthcare provider to more understand the medical care, major concern, emotional impact, and the feeling and coping strategies to the gestational diabetes mellitus, in order to make pregnancy women be able to have the more complete perinatal care.

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