臺灣博碩士論文加值系統

　　本實驗性研究的目的為：一、比較兩組產婦在第一產程及第二產程對疼痛感受程度之差異。二、比較兩組產婦在產程進展時間之差異。三、比較兩組產婦在生產自我效能之差異。四、瞭解產婦之疼痛感受與生產自我效能之相關性。五、瞭解產婦之生產自我效能與產程進展之相關性。研究對象為南部某醫學中心自然分娩的初產婦，以投擲銅板方式隨機分派個案至實驗組與對照組，兩組各收案32名。予實驗組接受姿位護理方案教導後，比較兩組待產婦在疼痛感受、產程進展及生產自我效能之差異。研究方法採用問卷調查及實地觀察法，研究工具包括：1、簡短型麥克吉爾疼痛量表及視覺類比量表2、生產自我效能量表。以卡方檢定、t檢定、單因子變異數分析（One-Way ANOVA）、皮爾森積差相關（Pearson correlation），進行資料統計與分析。
　　本研究結果發現：一、於第一產程潛伏期疼痛感受程度實驗組顯著低於對照組，於第一產程活動期及第二產程疼痛感受，兩組則無顯著差異。二、於第二產程在產程進展上實驗組比對照組快32%，呈顯著差異，而於第一產程及總產程兩組則無顯著差異。三、在生產自我效能實驗組顯著高於對照組。四、產婦第二產程疼痛感受程度與效能期望有顯著的負相關。五、產婦於潛伏期疼痛感受程度與產程時間呈顯著正相關。六、產婦潛伏期效能期望與第一產程及總產程時間呈顯著負相關。本研究結果可提供產前教育課程設計之參考，並期望能加強產房護理人員的專業獨特功能，在產婦待產過程中提供人性化及合適的護理措施，協助產婦增強自信心及面對疼痛的自我調適能力，除能提昇護理品質，並能作為臨床護理實務及理論基礎之參考。

　　The purpose of this experimental study was to :1.compare the differences of the intensity of pain perception between experimental group and control group; 2. figure out whether there were differences in duration of labor between two groups; 3.detemine the differences in chidbirth self-efficacy between two groups; 4. clarify the relationship between pain perception and childbirth self-efficacy; 5. clarify the relationship between childbirth self-efficacy and duration of labor. The subjects were primiparas with normal spontaneous delivery from a medical center in Southern Taiwan. A total of 64 women in labor was radomly assigned to either the experimental or the control group, with each group totalling 32 women. The control group received routine hospital care; the experimental group received routine hospital care plus a posture education program. Three instruments were used to collect data: a short form McGill pain questionnaire, a visual analogue scale and the childbirth self-efficacy inventory. The data were analyzed using the chi-square, the t-test, One-Way ANOVA and Pearson product-moment correlation.
　　The results reveal that: 1. Labor pain perception was significantly lower in the experimental group than in the control group during the latent phase, but not during the active phase or the second stage. 2. The duration of second stage was significantly shorter (32%) for the experimental group than for the control group, yet no differences in the first stage and total duration of labor were noted. 3. Childbirth self-efficacy was significantly higher in the experimental group. 4. Labor pain perception during the second stage had a negative correlation with self-efficacy expectancy. 5. Labor pain perception during the latent phase had a positive correlation with duration of labor. 6. Women''s self-efficacy expectancy was negatively correlated with both the duration of the first stage and the total duration of labor. These findings may serve as references for parents education programs. The posture education program is a humane and favorable nursing management for women in labor, helping them gain confidence in their ability to cope with labor.