頁籤選單縮合
題名 | 產後婦女的家庭型態與產後照顧及憂鬱症的相關性=The Relationships between Family Structure, Postpartum Care and Depression in Postpartum |
---|---|
作者姓名(中文) | 白宗平; 邵馨慧; 蘇軒; 陳智長; 黃麗卿; | 書刊名 | 臺灣家庭醫學雜誌 |
卷期 | 27:3 2017.09[民106.09] |
頁次 | 頁154-163 |
分類號 | 417.38 |
關鍵詞 | 家庭型態; 產後照顧; 產後憂鬱症; Family structure; Postpartum care; Postpartum depression; |
語文 | 中文(Chinese) |
中文摘要 | 背景與目的:產後憂鬱症影響產婦健康以及嬰兒的照顧,嚴重的產後憂鬱會增加產婦自殺的風險。以家庭為基礎的社會支持是重要的保護因子,然而家庭型態的差異對產後照顧與憂鬱症的影響,在國內少有研究。本研究的目的為探討台灣家庭型態與產後照顧及憂鬱症的相關性。方法:本研究蒐集北部某醫學中心產後婦女填寫的問卷資料,問卷資料包括年齡、學歷、憂鬱量表、產後一個月的主要居住地點、家庭型態、家人支持度、嬰兒哺育方式及主要照顧者、主要在家烹調者。並以家庭型態差異分為大家庭與小家庭兩組進行各項相關資料分析。結果:總共納入666位產婦,平均年齡為33.3±3.9歲,有47.7%產後入住坐月子中心,家庭型態有58%為小家庭。小家庭型態的產婦比起大家庭者有較高的年齡(33.7±3.8 vs. 32.8±4.0),產後住在月子中心的比例較高(52.7% vs. 40.7%),在家烹調者媽媽或是婆婆為的比例較低(41.6% vs. 63.8%),長輩給予的家庭支持度也較低(17.0±4.1 vs. 17.8±3.2)。以愛丁堡產後憂鬱量表評量,發現有三成產後婦女為「憂鬱傾向」或診斷為「憂鬱症」,但是不同家庭型態的憂鬱量表的差異沒有統計上意義;小家庭型態的產婦在產後憂鬱量表「我感到悲傷以及哀傷」項目顯示較低的分數。在控制年齡、坐月子地點以及主要照顧者相關因素後,憂鬱量表平均分數與其他各子題的平均分數,在兩種不同家庭型態上均無統計上的顯著差異。結論:本研究發現家庭型態影響產後照顧方式,小家庭產婦在產後較少受到長輩的幫助,住坐月子中心的比例較高,且長輩的家庭支持度分數較低,但是憂鬱症狀與大家庭產婦無差異,值得進一步探討分析其他社會支持因素。 |
英文摘要 | Background and Purpose: Postpartum depression affects the health of postpartum women and infant care, and severe postpartum depression increases the risk of suicide. Family-based social support is an important protective factor for postpartum depression. However, few studies in Taiwan focus on the influence of different family structures on postpartum care and depression. The study accordingly aimed to investigate the relationship between family structure, postpartum care and depression in Taiwan. Methods: Questionnaires were collected from postpartum women at a medical center in northern Taiwan during the period from March 2014 to August 2016. The questionnaire incorporates items related to age, education, depression intensity, place of residence in the first month postpartum, family structure, family support, infant feeding method, the main infant caregiver, and the main person responsible for meal preparation at home. Survey participants were divided into those from nuclear family and those from extended family for data analysis. Results: A total of 666 postpartum women with an average age of 33.3±3.9 years enrolled in the study; 47.7% of the participants stayed in a postpartum nursing center and 58% of them were from nuclear family. Compared to their counterparts, women from nuclear family were older (33.7±3.8 vs. 32.8±4.0), more likely stayed in postpartum nursing center (52.7% vs. 40.7%), fewer mother or mother-in-law were their main home meal preparer (41.6% vs. 63.8%), and perceived lower family support (17.0±4.1 vs. 17.8±3.2). Overall, 30% of the postpartum women were screened positive depression or depression mood with the Edinburg Postnatal Depression Scale (EPDS). No statistically significant difference was found between women from different family structure. At multivariate analysis, controlling factors as age, place of residence in the first month after delivery and main home meal preparer, the mean score of total scale or individual components of EPDS were no significant difference between the two groups. Conclusion: Family structure influences postpartum care. Women living with nuclear family receive less care from parents or parents-in-law and report a higher percentage of staying in a postpartum nursing center and lower family support score from parents or parents-in-law. Family structure, on the other hand, appears to have no significant impact on depression intensity. Further investigations on other social support factors are needed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。