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研究生:陳淑蘭
研究生(外文):Chen, Shu-Lan
論文名稱:高危險妊娠孕婦在第三孕期之不確定感,壓力及因應策略
論文名稱(外文):Uncertainty, Stress and Coping in Women with High Risk Pregnancy during Third Trimester
指導教授:陳彰惠陳彰惠引用關係
指導教授(外文):Chen Chung-Hey
學位類別:碩士
校院名稱:高雄醫學院
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1998
畢業學年度:86
語文別:中文
論文頁數:97
中文關鍵詞:高危險妊娠不確定感壓力因應策略
外文關鍵詞:high risk pregnancyuncertaintystresscoping
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本研究旨在探討高危險妊娠孕婦之不確定感, 壓力及因應策略, 並探究
三者之相關性及因應策略之預測因子. 以立意取樣的方式在南部二所醫學
中心和四所地區醫院進行門診追蹤照護及在病房住院之第三孕期高危險妊
娠孕婦為研究對象, 共收取110名個案. 研究工具為結構式問卷, 其內容
包括三部份:(一)個人基本屬性調查表(二)不確定感-壓力量表(三)因應策
略量表. 資料統計的方法包括百分比, 平均值, 標準差, 項目分析, 因素
分析, 卡方檢定, t檢定, 共變數分析, 皮爾森積森相關檢定, 和層級式
複迴歸分析. 研究結果發現:(1)不確定感-壓力量表其不確定感經由因素
分析後,可分為:不明確性, 和茫然不知如何因應; (2)不確定感-壓力量表
其壓力經因素分析可分為:茫然不知如何因應而引發之壓力感, 和不明確
而引發之壓力感; (3)因應策略量表經因素分析可分為:計劃與期望, 尋求
社會資源, 情緒處理, 和認知壓抑; (4)住院高危險孕婦之"不明確性"顯
著高於門診高危險孕婦; (5)住院高危險孕婦之孕期壓力顯著高於門診高
危險孕婦; (6)門診高危險孕婦在採用"認知壓抑"之壓抑性策略顯著高於
住院高危險孕婦; (7)孕期不確定感與孕期壓力呈顯著正相關, 而孕期不
確定感和孕期壓力皆與因應策略之"計劃與期望"和"認知壓抑"呈顯著負相
關. (8)職業有無, 茫然不知如何因應, 或茫然不知如何因應而引發之壓
力感可顯著預測因應策略因素I"計劃與期望"; (9)教育程度可顯著預測因
應策略因素II"尋求社會資源"; (10)不明確性可顯著預測因應策略因素
IV"認知壓抑". 本研究結果除了可協助護理人員了解門診與住院高危險孕
婦其不確定感, 壓力及因應策略之差異外, 亦期能加強護理人員之教育者
和支持者的角色及作為高危險妊娠孕婦產前居家照護計劃之參考, 另亦可
作為產科護理教學及進一步研究之依據.
The purpose of this research was to investigate the
uncertainty, stress, and coping in women with high risk
pregnancy during third trimester, and to explore the
relationship among these factors and the predictors of coping.
Totally 110 subjects of purposive samples were collected from
two medical centers and four regional hospitals in Kaohsiung
city, Taiwan. Three instruments were utilized to collect the
data: (1)the Basic Characteristic Inventory; (2)the Uncertainty
- Stress Scale; (3)the Ways of Coping Checklist. The data were
analyzed using the Cronbach''s alpha, item analysis, factor
analysis, chi-square, t-test, ANCONA, Pearson''s correlation, and
Hierarchical multiple regrssion analysis. In this study, the
main results were as follows: (1)factors analysis of the
uncertainty scores of the Uncertainty-Stress Scale defined two
categories, which were labeled Indefiniteness as well as Being
unsettled and having doubts about coping; (2)the stress scores
of the Uncertainty-Stress Scale were defined by factor analysis
as: Stress caused by indefiniteness, and Stress caused by being
unsettled and having doubts about coping; (3)using factor
analysis, the Ways of Coping Checklist were defined as: Plan and
hoping, Seeking social resources, Emotional suppression, and
Cognitive suppression; (4)the indefiniteness of the hospitalized
high risk pregnant women were significantly higher than those of
the out-patient high risk pregnant women; (5)the stress of the
hospitalized high risk pregnant women were remarkably higher
than those of the out-patient high risk pregnant women; (6)the
cognitive suppression of the out-patient high risk pregnant
women were significantly higher than those of the hospitalized
high risk pregnant women; (7)uncertainty was positively
correlated with stress; uncertainty and stress were negatively
correlated with plan and hoping, and cognitive suppression;
(8)the occupational status, and being unsettled and having
doubts about coping, or Stress caused by being unsettled and
having doubts about coping were significant predictors of the
Plan and hoping; (9)the educational level was an significant
predictor of the Seeking social resources; (10)the
indefiniteness was an significant predictor of the Cognitive
suppression. The results of this study can help the nurses not
only to understand uncertainty, stress, and coping of the high
risk pregnant women both in hospitalized and out-patient
departments, but also to reinforce the role of being educator
and supportor. Moreover, it can provide references to Antepartum
Home Care Program for the high risk pregnant women, and supply
useful information for enhancing obstetric nursing teaching and
future research.
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