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題名 | The Psychosocial Consequences for Primiparas and Multiparas=初產婦與經產婦之心理社會影響 |
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作者 | 洪志秀; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 23:7 2007.07[民96.07] |
頁次 | 頁352-360 |
分類號 | 419.74 |
關鍵詞 | 心理健康狀況; 經產婦; 產後壓力; 初產婦; 社會支持; Mental health status; Multiparas; Postpartum stress; Primiparas; Social support; |
語文 | 英文(English) |
中文摘要 | 本研究目的在區辨不同產次婦女之產後壓力以及比較初產婦與經產婦之產後壓力、社會支持和心理健康狀況。採用橫斷式的非實驗之量性研究設計,在南台灣的醫院和產科診所招募 435 名初產婦和 426 名經產婦以洪氏產後壓力量表、社會支持量表和中國人健康量表,比較兩組婦女的產後壓力、社會支持和心理健康狀況。研究結果顯示初產婦在產後壓力、擔憂身體負向改變、擔憂母育角色的獲得,以及社會支持、家人支持和朋友支持方面的平均得分皆高於經產婦。然而經產婦在擔憂缺乏社會支持的得分上比初產婦來得高。另外,兩組婦女的心理健康狀況不因為產次的不同而有顯著差異。由本研究發現,婦女會因為產次不同而感受到獨特的產後壓力源。因此在提供支持性的護理措施之前,確認初產婦和經產婦的特殊性產後壓力源是相當重要的。根據不同的產次,明確的執行適當的護理措施不但可以減低婦女的產後壓力而且也可以預防婦女產後心理健康問題的產生。 |
英文摘要 | The purpose of the study was to differentiate among various postpartum stressors and to compare women’s postpartum stress, social support, and mental health status in relation to parity differences. A non-experimental quantitative study with cross-sectional design was carried out. A total of 435 primiparas and 426 multiparas from clinics and hospitals in southern Taiwan were recruited for the study. The Hung Postpartum Stress Scale, the Social Support Scale, and the 12-item Chinese Health Questionnaire were used to compare the postpartum stress, social support, and mental health status of primiparous and multiparous women. Compared with multiparas, the mean scores of primiparas were higher for postpartum stress, concerns about negative body changes, concerns about maternal role attainment, as well as for measures of social support, family support, and friend support. However, multiparas had higher scores than primiparas regarding concerns about lack of social support. The mental health status of the two groups did not differ significantly by parity. The primiparous women and multiparous women experienced unique postpartum stressors. The results suggest that it is important to identify specific postpartum stressors for primiparas and multiparas when providing supportive interventions. Specifically tailored nursing interventions based on differences in parity may help reduce postpartum stress and help prevent the development of more severe mental health problems among postpartum women. |
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