跳到主要內容

臺灣博碩士論文加值系統

(216.73.216.81) 您好!臺灣時間:2025/10/05 04:56
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:曹健民
研究生(外文):Chien-Ming Tsao
論文名稱:以推廣親善生產及生產計畫的觀念,探討新竹地區孕婦選擇生產場所重要因素之研究
論文名稱(外文):Using the Concepts of Tender Birth and Birth Planning to Realize the Factors which Influences an Expectant Mother at Hsinchu to Choose a Childbirth’s Place
指導教授:楊千楊千引用關係
指導教授(外文):Chyan Yang
學位類別:碩士
校院名稱:國立交通大學
系所名稱:管理學院高階主管管理碩士學程
學門:商業及管理學門
學類:其他商業及管理學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:54
中文關鍵詞:親善生產生產計劃健康行為科學理論
外文關鍵詞:Tender BirthBirth PlanningHealth Behavior and Science Theory
相關次數:
  • 被引用被引用:2
  • 點閱點閱:615
  • 評分評分:
  • 下載下載:75
  • 收藏至我的研究室書目清單書目收藏:2
「親善生產」概念源於1980年代初期,當時許多學者認為協助婦女生產的機構,應以「人性化」的婦嬰服務措施,提供以「家庭」為中心的照顧給產婦;近年來「親善生產」的概念也開始普遍推廣於國內各大醫院,越來越受到醫學上的重視。在過去孕婦選擇生產廠所的研究當中,鮮少提到「親善生產」及「生產計劃」的因素,因此本研究希望藉此可以瞭解目前推廣親善生產及生產計畫書的規劃是否影響孕婦對於醫院的選擇行為。
透過在新竹地區至醫院接受定期產檢門診的孕婦,由研究者經由詳細介紹及說明親善生產的觀念後,以自擬式問卷,做面訪的問卷調查。經由與受測者在產前進行約六十分鐘的訪談,本研究回收了共556份有效問卷,之後便進一步將所回收的資料予以分析與歸納。經.由統計分析結果,本研究提出實務上的建議。
The concepts of “tender birth” are originated in the early 1980s. At that time, many scholars believed that organizations, which assist childbirth for women, should provide "humane" measures of maternal and infant services. In recent years, the concepts of “tender birth” was began to promote common in domestic major hospitals. Researches over the past year rarely mentioned the factors of "tender birth" and “birth planning”, so the purpose of this study is to understand whether or not "tender birth" and “birth planning” influence the expectant mother at Hsinchu to choose a Childbirth’s Place.

This study conducted the interview through the pregnant women whom adopt regular examination in Hsinchu’s hospital. Besides, a paper-based questionnaire was designed to verify the purpose of this study. The research structure was empirically evaluated using survey data collected from 556 pregnant women about their perceptions of “tender birth” and “birth planning”. Finally, the implication of this study to practitioners is discussed.
目錄

摘要 iii
ABSTRACT iv
致謝 v
目錄 vi
圖目錄 vii
表目錄 viii
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 1
1.3 研究架構 3
第二章 文獻探討 4
2.1 母嬰親善生產概念的創始 4
2.2 婦女親善生產的準則 11
2.3 健康行為科學理論 16
2.4 Andersen醫療服務利用行為模式 22
第三章 研究方法 26
3.1 研究對象 26
3.2 研究變項 26
3.3 研究分析工具 28
第四章 資料分析與結果 30
4.1 量表驗證 30
4.2 受測者基本資料分析 30
4.3 能力因素分析 32
4.4 需要因素分析 34
4.5 環境因素分析 36
4.6 小結 38
第五章 結論與建議 39
參考文獻 41
中文部分 41
英文部分 42
附錄一:產婦選擇生產場所行為調查問卷 49
參考文獻

中文部分
1. 行政院衛生署衛生統計資訊網,2004。
2. 李香瑤(1997):「產婦選擇生產場所之影響因素研究一生育付政策有影響嗎?」國立陽明大學衛生福利研究所碩士論文。
3. 李卓倫、周碧瑟(1987):「以健康信念模式分析鹿谷郷民的肝癌篩檢行為」,公共衛生,第14卷第3期,236-249。
4. 郭素珍(2005)「人性化生產」•護理雜誌,52(3),21-27
5. 郭素珍譯(2002)「母親親善生產的創始」•助產雜誌第四十五期,1-6。
6. 黃月桂(1996):「全民健康保險預防保健服務之利用分析」,中央健康保險局委託研究計畫。
7. 黃敏毓(2005):「產婦選擇診所或醫院生產之相關因素探討-以澎湖地區為例」。高雄醫學大學健康科學院公共衛生研究所碩士論文。
8. 曾雅玲、余玉眉(1994):「正常分娩的初產婦於待產及生產時主觀經驗之探討」•護理研究,第二卷,第四期,327-338。
9. 陳筱華,祝道松,徐永新(2001):「病患選擇醫院之關鍵因素及決策行為-以產科病人為例」,醫務管理期刊,第2卷第1期,77-92。
10. 陳嘉綺、李從業(2004):「拉梅茲生產教育—孕期產球運動」•慈濟護理雜誌第3卷第1期,28-32。
11. 陳麗芳、朱大維、李從業(2000):「產前會陰按摩法」•護理雜誌,第47卷第4期,64-70。
12. 葉季森(2006)「孕婦選擇生產場所相關因素研究-以台中地區數家醫療機構為例」•醫護科技學刊,8卷2期,144-156
13. 葉國樑(2001):「健康行為科學理論應用於健康教育的調實驗研究」,翰林文教雜誌第十七期。
14. 張靜宜、高美玲(2006):「運用生產球協助婦女待產之經驗」•護理雜誌53卷3期,98-102。
英文部分
15. Adams EK et al. 〝Predicting hospital choice for rural medicare beneficiaries: The role of severity of illness. 〞 Health Services Research. Dec. 1991:26(5):583-612
16. Anson O. 〝Utilization of maternal care in rural HeBei Province, the People’s Republic of China: Individual and structural characteristics. 〞 Health Policy. 2004 Nov;70(2):197-206
17. Andersen RM. 〝Revisiting the behavioral model and abscess to medical care: Does it matter? 〞Journal of Health and Social Behavior. Mar. 1995;36:1-10.
18. Becker MH, Drachman RH,Kirscht JP. 〝A field experiment to evaluate various outcomes of continuity of physician care. 〞 Am J public Health. 1974 Nov;64(11):1062-70.
19. Benight CC, Bandura A. 〝Social congnitive theory of posttraumatic recovery : the role of perceived self-efficacy. 〞 Behav Res Ther.2004 Oct;42(10):1129-48.
20. Byme JP, Crowther CA, Moss JR. 〝A randomized controlled trial comparing birthing centre care with delivery suite care in Adelaide, Australia. 〞 Aust NZJ. Obstet Gynaecol.2000 Aug;40(3):268-74.
21. Combier E, Zeithin J,de Courcel N,Vasseur S,Lalouf A,Amat-Roze JM,de Pouvourville G. 〝Choosing where to deliver:decision criteria among women with low-risk pregnanciesin France. 〞Soc Sci Med.2004 Jan;58(11):2279-89.
22. Davies Jel al. 〝Prospective regional study of planned homebirth. 〞 British Medicine Journal. 1996;313:302-306.
23. Ellen D. Hodnett. 〝Personal control and the birth environment: comparisons between home and hospital settings. 〞 Journal of environmental psychology (1989)9,207-216.
24. Esimai OA,Ojo OS,Fasubaa OB. 〝Utilization of approved health facilities for delivery in Ile-Ife, Osun State, Nigeria. 〞Niger J Med.2002 Oct-Dec;11(4):177-9.
25. Fishbein M, Ajzen I. 〝Theory-base behavior change interventions:comments on Hobbis and Sutton. 〞J Health Psychol.2005 Jan;10(1):27-31;discussion 37-43.
26. Gertler P,Rahman O,Feifer C,Ashley D. 〝Determinants of pregnancy outcomes and targeting of maternal health services in Jamaica. 〞Soc Sci Med.1993 Jul;37(2):199-211.
27. Gooding SS. 〝Quality, sacrifice, and value in hospital choice: For major treatment, quality reigns;for minor treatment, sacrifice assumes more importance. 〞 Journal of Health Care Marketing.1995;15(4):24-31.
28. Hundley V,Rennie AM,Fitzmaurice A, Graham W,van Teijingen E,Penney G. 〝A national survey of women’s views of their maternity care in Scotland. 〞 Midwifery.2000 Dec;16(4):303-13.
29. Hildingsson I,Waldenstrom U,Radestal I. 〝Swedish women’s interest in home birth and in-hospital birth center care. 〞 Birth.2003 Mar;30(1):11-22.
30. Ian D. Graham, PhD. Gullermo Carroll, MD, Christine Davles, BA, and Jennifer Mary Medves, RN, PhD. 〝Episiotomy rates around the world: An update. 〞 Birth. 2005 Sep; 32:3: 219-223
31. Jackson DJ, Lang JM Swartz WH, Ganiats TG, Fullerton J, Ecker J, Nguyen U. 〝Outcomes,safety,and resource utilization in a collaborative care birth center program compared with traditional physician-based perinatal care. 〞 Am J Public Health.2003 Jun;93(6):999-1006.
32. Kenny P, King MT, Cameron S, shiell A. 〝Satisfaction with postnatal care-the choice of home or hospital. 〞 Midwifery. 1993 Sep:9(3):146-53.
33. Kimberlee T. Goode, M.D. 〝Episiotomy rates in private vs. resident service deliveries-A comparison. 〞 The Journal of Reproductive Medicine. 2006 Mar; 51(3):190-192.
34. Liamputtong P. 〝Giving birth in the hospital: childbirth experiences of Thai women in northern Thailand. 〞 Health Care Women Int. 2004 May;25(5):454-80.
35. Madden P. 〝The Swedish experience. 〞Health Serv J.1988 Jun 30;98(5107);736-7.
36. Marlene C. Mackey, PhD, RN. 〝Women’s evaluation of their childbirth performance. 〞 Maternal-Child Nursing Journal. 1995 Apr-Jun; 23(2):57-72.
37. McKenna P, Matthews T. 〝Safety of home delivery compared with hospital delivery in The Eastern Region Health authority in Ireland in the years 1999-2002. 〞 Ir Med J.2003 Jul-Aug;96(7):198-200.
38. Mechanic D. 〝Prospects and problems in health services research. 〞Milbank Mem Fund Q Health Soc. 1978 Spring;56(2):127-39.
39. Neuhaus W, Piroth c, Kiencke P, Gohring UJ, Mallman P. 〝A psychosocial analysis of women planning birth outside hospital. 〞 J Obstet Gynaecol. 2002 Mar;22(2):143-9.
40. Phibbs CS, Mark DH, Luft HS, Peltzman-Rennie DJ, Garnick DW, Lichtenberg E, McPhee SJ. 〝Choice of hospital for delivery: a comparison of high-risk and low-risk women. 〞 Health Serv Res. 1993 Jun;28(2):201-22.
41. Ramona T. Mercer. 〝Relationship of psychosocial and perinatal variables to perception of childbirth. 〞 Nursing Research. 1983 Aug; 32(4):202-207.
42. Rosenstock IM. 〝The health belief model and preventive health behavior. 〞 Health Education Monograph.1974;2:354-386.
43. Schneider Z. 〝An Australian study of women’s experiences of their first pregnancy. 〞Midwifery. 2002 Sep;18(3):238-49.
44. Stekelenburg J, Kyanamina S, Mukelabai M, Wolffers I, van Roosmalen J. 〝Waiting too long: low use of maternal health services in Kalabo, Zambia. 〞 Trop Med Int Health. 2004 Mar;9(3):390-8.
45. Suchman EA. 〝Stages of illness and medical care. 〞J Health Behav.1965 Fall;6(3):114-28.
46. The Society of Obstetricians and Gynaecologists fo Canada. 〝SOGC Clinical Practice Guidelines. Guidelines for operative vaginal birth. 〞 International Journal of Gynecology and Obstetrics. 2005, 88, 229-236.
47. Trovik J, Salvesen H, Maroy M. Dalaker K.「If the woman giving birth had her choice…Results of a consumer study in the region of Bergen」Tidsskr Nor Laegeforen,1995 Mar 10:115(7):838-41.
48. Thind A, Banerjee K. 〝Home deliveries in Indonesia: who Provides assistance? 〞 J community Health. 2004 Aug:29(4):285-303.
49. van der Hulst LA, van Teijlingen ER, Bonsel GJ, Eskes M, Bleker OP. 〝Does a pregnant woman’s intended place of birth influence her attitudes toward and occurrence of obstetric interventions? 〞 Birth. 2004 Mar;31(1):28-33.
50. Vallgarda S. 〝Hospitalization of deliveries: the change of place of birth in Denmark and Sweden from the late nineteenth century to 1970. 〞 Medical History 1996; 40:173-196.
51. Wagle RR, Sabroe S, Nielsen BB. 〝Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: an observation study from Nepal. 〞 BMC pregnancy Childbirth. 2004 May 22;4(1):8.
52. Yassin K, Laaser U, Kraemer A. 〝Maternal morbidity in rural upper Egypt: levels, determinants, and care seeking. 〞 Health care Women Int. 2003 May-Jun;24(5):452-67.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top