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研究生:張敏玉
研究生(外文):Min-Yu Chang
論文名稱:孕婦憂鬱、社會支持與健康促進生活方式相關因素探討
論文名稱(外文):The Association Among Depression, Social Support,and Health Promotion Lifestyles in Pregnant Women
指導教授:郭素珍郭素珍引用關係
指導教授(外文):Su-Chen Kuo
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:護理助產研究所
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:2009
畢業學年度:97
語文別:中文
論文頁數:80
中文關鍵詞:孕期憂鬱 社會支持 健康促進
外文關鍵詞:DepressionSocial Supportand Health Promotion
相關次數:
  • 被引用被引用:17
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本研究目的為探討第二、第三孕期婦女憂鬱症狀及其社會支持程度、健康促進生活方式之相關影響因素。研究採縱貫式相關性設計,以北部地區一家醫學中心及兩家地區醫療院所為收案場所,於門診接受產前衛生教育之第二、三孕期婦女為研究對象,共計收取第二孕期個案206位,第三孕期個案152位,研究工具包括自擬的結構式孕婦基本屬性調查表、愛丁堡周產期憂鬱量表、孕婦社會支持量表、健康促進生活方式量表。統計方法採描述性統計、單因子變異數分析、相關係數檢定、線性複回歸、以廣義估計方程式。
研究結果發現:(1)憂鬱為健康促進之有效預測因子,總解釋變異量為14%,顯示研究對象的憂鬱程度越高其健康促進的分數就越低。(2)第二孕期婦女憂鬱中以經產婦之孕期婦女得分較高:(10.55±4.41)、而初產婦之孕期婦女得分較低 (9.12±3.79)即第二(含)胎以上之經產婦女有較高之憂鬱。(3) 第二孕期婦女中又以月收入低於5萬之婦女有較高之憂鬱(10.62±4.37)。(4) 第二孕期孕婦社會支持行為與其家庭月收入有顯著意義p = .002,即婦女家庭收入愈高其所獲得之會社支持程度愈高。(5)第二、三孕期皆發現無憂鬱傾向婦女健康促進生活方式有顯著意義第二孕期p<.001,第三孕期p = .003。第二孕期:無憂鬱傾向平均得分(78.81±12.52);有憂鬱傾向(60.95±9.37),第三孕期:無憂鬱傾向(79.08±14.12);有憂鬱傾向(68.06±13.53)。(6) 第二、三孕期皆發現社會支持程度高之婦女健康促進生活方式得分較高,孕期社會支持與婦女健康促進生活方式有顯著意義,第二孕期p =.04、第三孕期 p =.05。第二孕期:平均得分低度社會支持(66±15.79);中度社會支持(75.36±12.82);高度社會支持(78.17±12.24),第三孕期:低度社會支持(74.5±17.37);中度社會支持(74.08±15.03);高度社會支持(80.34±13.92)。
護理人員在臨床應針對高危險群婦女進行評估及追蹤並加強關注以即早發現異常個案。在實務上更可將產前衛生教育範圍延伸,鼓勵其有意義支持者(先生、母親)一同參與孕期護理指導,課程當中建議加入放鬆技巧、壓力處理之議題,加強醫療人員及孕期婦女重視面對壓力的解決能力以預防孕期憂鬱的發生使孕期婦女能執行良好的健康促進生活。
The aim of this study is to research the factors of depression, social support, and health promotion lifestyles in pregnant women. Adopting the longitudinal design and this study targeted the second, and third trimester pregnant women receiving prenatal period checks in medical center, two regional hospitals in north Taiwan. There were 206 second, trimester and 152 third trimester pregnant women were recruited in this study, The instrument includes: self-developed to collect data, Edinburgh Prenatal Depression Scale, Maternity Social Support Scale, Health Promotion Lifestyle Scale. The methods of analysis were as follows: descriptive statistics, one way ANOVA, Pearson's correlation , linear regression analysis, Generalized Estimating Equation.
Results: (1)Depression is a good predictive of health promotion, a total of 14% variance was explained. The study showed the higher degree of depression get the lower health promotion scale.(2)The multipara pregnancy women at second trimester with depression get higher score(10.55±4.41), and primipara pregnancy women get lower score(9.12±3.79). It’s means multipara women have higher risk of depression. (3)The second trimester with monthly income lower than fifty thousand have higher incidence of depression(10.62±4.37).(4)The pregnancy women at second trimester, the social support and monthly income have significance p= .002. It’s means the higher family income of the women get the more social support.(5)The women at second and third trimester without depression and health promotion have significance, second trimester p<.001, third trimester p = .003. The second trimester without depression average score (78.81±12.52), with depression average score (60.95±9.37), The third trimester without depression average score (79.08±14.12), with depression average score (68.06±13.53). (6) The women at second and third trimester with higher social support have higher score of health promotion, social support and health promotion have significance, second trimester p= .04, third trimester p = .05. The second trimester lower social support average score(66±15.79), meddle social support average score(75.36±12.82), high social support average score(78.17±12.24),third trimester lower social support average score(74.5±17.37), meddle social support average score(74.08±15.03), high social support average score(80.34±13.92)
The nursing staff should screen high risk women and follow up to find out abnormal cases as soon as possible. In practically we may extend the prenatal health education to encourage the meaningful supporters (the husband or her mother) to learn pregnant nursing care and support with each other. We suggest the lessons should include the skills of relaxation, management of stress. This will improve the ability of the medical staff and the pregnant women to resolve the stress and let those who have physical and psychological stress during pregnancy to perform better health-promoting lifestyle.
目 錄
第一章 緒論 1
第一節 前言 1
第二節 問題陳述 4
第三節 研究目的 5
第四節 研究假設 6
第五節 研究的重要性 6
第六節 研究架構 8
第二章 文獻查證 9
第一節 健康促進生活 9
第二節 孕婦的健康促進 16
第三節 孕期憂鬱 20
第四節 孕期社會支持 20

第三章 研究方法 24
第一節 研究設計 24
第二節 研究對象、樣本數與場所 25
第三節 研究變項 26
第四節 研究工具及信度與效度檢定 28
第五節 資料收集過程 31
第六節 資料處理與統計分析 33
第七節 倫理考量 35
第四章 研究結果 36
第一節 研究對象之基本屬性 36
第二節 基本屬性與第二、三孕期孕婦憂鬱之比較 39
第三節 基本屬性與孕婦社會支持之比較 42
第四節 基本屬性與孕婦健康促進生活方式之相關因素 45
第五節 第二、三孕期婦女憂鬱與其健康促進生活方式 48
第六節 第二、三孕期婦女社會支持與其健康促進生活方式 49
第七節 第二、三孕期婦女憂鬱、社會支持與其健康促進生活方式 49
第八節 健康促進之預測因子 50
第九節 健康促進之重要預測變項 50
第五章 討論 51
第一節 研究對象的特性 51
第二節孕期健康促進生活相關因素 53
第三節影響孕期健康促進生活相關因素 57
第六章 結論與建議 59
第一節 結果應用與建議 59
第二節 研究限制 61
第三節 結論 62
參考文獻 644
中文部分 644
英文部分 67
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