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研究生:施惠玲
研究生(外文):Huen-Ling Shi
論文名稱:護理指導對準父親陪產效能及產婦生產支持與疼痛感受之影響
論文名稱(外文):The effects of nursing instruction on expectant fathers' accompanying efficacy, maternal labor support perception and pain perception during labor and birth
指導教授:李從業李從業引用關係
指導教授(外文):Tsorng-Yeh Lee
學位類別:碩士
校院名稱:國防醫學院
系所名稱:護理研究所
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:2002
畢業學年度:90
語文別:中文
論文頁數:81
中文關鍵詞:護理指導準父親陪產效能生產支持感受疼痛感受
外文關鍵詞:nursing instructionexpectant fatheraccompanying efficacylabor support perceptionpain perception
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本研究目的為探討陪產護理指導對準父親陪產效能及產婦生產支持與疼痛感受之影響。採類實驗設計,立意取樣選取60位參與妻子自然產待產及生產過程之準父親為對象,分為實驗組與控制組各30名,實驗組除接受現行產房陪產護理指導外,在辦妥產婦入院手續後,觀看研究者針對準父親所設計之陪產護理指導錄影帶。所使用的工具包括:準爸爸陪產護理指導錄影帶、準父親陪產效能量表、產婦生產支持感受量表、簡易型麥克吉爾疼痛量表。以卡方檢定、t檢定、皮爾森積差相關、單因子變異數分析等相關統計方式進行資料統計與分析。
本研究結果發現:一、實驗組準父親陪產效能改變量高於控制組。二、實驗組產婦所感受到的生產支持度高於控制組。三、實驗組活動期疼痛感受低於控制組。四、準父親陪產效能與產婦生產支持感受成正相關。五、準父親生產相關知識來自姊妹、產婦是否參加生產教育課程、產婦教育程度、催生劑使用及產程時間等五項基本屬性影響準父親陪產效能、產婦生產支持、及疼痛感受。根據研究結果,未來在護理的運用上,針對準父親所設計的陪產護理指導錄影帶,可以作為護理人員提供準父親陪產的參考,使準父親在陪產時更能適時提供支持與協助,達成以家庭為中心的護理宗旨。
The purpose of this study was to explore the effects of nursing instruction on expectant fathers’accompany efficacy, maternal labor support and pain perception during labor and birth.
A two-group quasi-experimental design was employed.
The convenience sample of 60 expectant fathers who accompanied their wife’s in labor participated in this study.The 60 subjects were divided into two groups:an experimental group and a control group . The experimental group received nursing instruction after complete hospitalized procedures. Three instruments were used to collect data: Expectant Father Accompany Efficacy Scale, Maternal Labor Support Scale, and Short Form McGill Pain Questionnaire. The data was analyzed using SPSS/PC software, including chi-square test, t-test, Pearson correlation, and one-way ANOVA.
The major findings of this study were as follows:(1) After nursing instruction, expectant fathers in the experimental group improved their accompany efficacy. (2) Maternal labor support perception of the experimental group was significantly higher than that of control group. (3) Maternal pain perception of the experimental group in the active phase was significantly lower than that of control group. (4) Expectant fathers’ accompany efficacy were positive correlated with maternal labor support perception. (5) There was a significantly relationship between subjects characteristics and expectant fathers’ accompany efficacy, maternal labor support perception, and pain perception. Based on the findings, Expectant accompany nursing instruction videotape is effective and should be suggested prevalently use in the future.
第壹章 緒 論 --------------------------------------------- 1
第一節 研究動機及重要性----------------------------------- 1
第二節 研究目的------------------------------------------- 3
第三節 研究問題------------------------------------------- 4
第貳章 文獻查證
第一節 準父親陪產及陪產效能------------------------------- 5
第二節 生產支持之探討------------------------------------- 8
第三節 產痛之探討----------------------------------------- 11
第四節 陪產之護理指導------------------------------------- 14
第參章 研究架構
第一節 概念架構------------------------------------------- 17
第二節 研究假設------------------------------------------- 18
第三節 名詞界定------------------------------------------- 18
第肆章 研究方法
第一節 研究設計------------------------------------------- 20
第二節 研究對象及場所------------------------------------- 21
第三節 研究工具及信度與效度------------------------------- 22
第四節 研究步驟------------------------------------------- 27
第五節 資料統計與分析------------------------------------- 29
第六節 研究倫理考量--------------------------------------- 30
第伍章 研究結果
第一節 研究對象人口學屬性--------------------------------- 32
第二節 兩組準父親陪產效能之分析與比較--------------------- 38
第三節 兩組產婦生產支持感受之分析與比較------------------- 42
第四節 兩組產婦疼痛感受之分析與比較----------------------- 45
第五節 準父親陪產效能、產婦生產支持與疼痛感受之相關性----- 49
第六節 基本屬性與準父親陪產效能、產婦生產支持與疼痛感受
之相關性----------------------------------------- 51
第陸章 討 論
第一節 兩組在準父親陪產效能上之差異----------------------- 62
第二節 兩組在產婦生產支持感受上之差異--------------------- 63
第三節 兩組產婦在疼痛感受上之差異------------------------- 64
第四節 準父親陪產效能與產婦生產支持及疼痛感受之相關性----- 65
第五節 個人基本屬性和準父親陪產效能、產婦生產支持與疼痛感受
之關係 ----------------------------------------- 66
第柒章 結論與建議
第一節 結 論---------------------------------------------- 68
第二節 護理學上的應用------------------------------------- 70
第三節 研究限制與對未來研究的建議------------------------- 71
參考資料
中文部分-------------------------------------------------- 74
英文部分-------------------------------------------------- 76
中文部分
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1. 張韶敏、陳彰惠(2000)‧分娩護理支持與產婦生產經驗之相關性探討‧護理研究,8(6),663-671。
2. 張郁婉(1994)‧待產婦產痛情形的分析及探討‧公共衛生,21(2),128-141。
3. 馮容莊(1996)‧鬆弛技巧與產婦生產自我效能之相關性研究‧榮總護理,13(3),311-320。
4. 曾雅玲、王麗玲、施幼玲(1993)‧準爸爸於生產過程的行為反應及護理需求之初步探討‧護理研究,1(3),279-289。
5. 李麗珠、郭碧照(1998)‧初產婦待產期間產痛分析及減輕產痛護理措施之探討‧中山醫學雜誌,9(1),65-74。
6. 陳彰惠、張美月(2000)‧撫觸療法在分娩護理的運用-一種歷史悠久的新技術‧護理雜誌,47(3),28-31。
7. 傅雅麟、李從業、葉翠芬(2001)‧婦女歷經先生陪伴生產之生活經驗‧護理雜誌,48(4),51-60‧
8. 鍾聿琳(1999)‧二十一世紀的生產教育‧護理雜誌,46(3),16-22.
9. 鍾聿琳(1999)‧生產支持‧護理雜誌,46(6),77-81.
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