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研究生:楊淑媛
研究生(外文):Shu Yuan Yang
論文名稱:產後婦女心理健康狀態與飲食行為之相關性探討
論文名稱(外文):Association between Psychological Health and Dietary Behavior in Postpartum Women
指導教授:鍾詩琦鍾詩琦引用關係
指導教授(外文):S. C. Chung
學位類別:碩士
校院名稱:長庚大學
系所名稱:護理學系
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:2017
畢業學年度:105
語文別:中文
論文頁數:96
中文關鍵詞:產後婦女心理健康飲食行為
外文關鍵詞:postpartum womenPsychological healthdietary behavior
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生產前後荷爾蒙之劇烈改變與為人母角色調適應都有可能影響產婦心理健康,心理健康的調適多半反應在行為上,尤其是飲食行為。本研究旨在探討產後婦女心理健康狀態與飲食行為之相關性。研究設計為描述性調查研究,使用立意取樣方式,在北部某醫學中心產後病房招募80名產後個案,於其產後第3天及之後連續四週使用愛丁堡產後憂鬱量表(Edinburgh Postnatal Depression Scale, EPDS)評估產後心理健康狀態、與荷蘭飲食行為問卷表(Dutch Eating Behavior Questionnaire, DEBQ)評估飲食行為。資料以描述性、廣義估計方程式(Generalized estimating equation, GEE)及偏相關(partial correlation)之統計方式進行分析。研究結果發現產後婦女心理健康狀態雖隨著時間趨緩,但差異並不顯著;產後婦女的飲食行為在產後一個月內的變化亦不顯著,但婦女在產後第一週時相較於其他時間表現出較明顯的飲食行為控制;產後一個月內的心理健康狀態無法反應在飲食行為上。依據研究結果建議產後的飲食計畫可以在產後立即進行,並於產後一週開始追蹤成效。
關鍵字:產後婦女、心理健康、飲食行為
Vigorous hormonal changes during the antepartum and postpartum periods as well as the adaptation into the role as a new mother can both potentially affect psychological health of the postpartum woman. Psychological health can be reflected through one’s behavior, especially dietary behavior. The aim of this study is to investigate the correlation between the postpartum woman’s psychological health and her eating behavior. Study design: this is a descriptive, survey study. By using the purposive sampling technique. Eighty eligible patients were recruited in a medical center in Taipei, Taiwan. Psychological health and dietary behavior of the postpartum woman were obtained at Day 3, 7, 14, 21 and 28 postpartum using the EPDS and DEBQ, respectively. Data were analyzed according to the study aims. Descriptive and interpretative statistics, i.e. GEE and partial correlation were applied. The results showed that although the postpartum women’s psychological health status improved with time, there was no statistical significance. On the other hand, women tended to control their diet at one week postpartum. However, the association between psychological health status and dietary behavior in one month postpartum was not significant. According to our study, we recommend starting a diet plan immediately postpartum, which may be found effective at one week postpartum.
Keywords: postpartum women, psychological health, dietary behavior.
目錄
指導教授推薦書
口試委員會審定書
致謝....................................................................................................iii
中文摘要............................................................................................iv
英文摘要.............................................................................................v
目錄....................................................................................................vi
圖目錄.................................................................................................x
表目錄................................................................................................xi
第壹章 緒論 - 1 -
第一節 研究背景與動機 - 1 -
第二節 研究重要性 - 2 -
第三節 研究問題 - 5 -
第四節 研究目的 - 5 -
第五節 研究假設.....................................................................- 5 -
第貳章 文獻探討 - 6 -
第一節 產後婦女的心理健康狀態與變化…………………. - 6-
第二節 影響產後婦女心理健康變化的因子 ..........- 10 -
第三節 產後婦女的飲食行為 - 20 -
第四節 影響產後婦女飲食行為的因子................................. - 22 -
第叁章 研究方法............................................................................- 25-
第一節 研究架構………......................................……………- 25-
第二節 名詞界定......................................................................- 26-
第三節 研究對象與收案條件……………………………......- 28-
第四節 研究流程…..............................................................…- 29-
第五節 研究工具………………………………………...……-31-
第六節 資料收集與統計方法................................................. -33-
第七節 研究倫理......................................................................-39-
第肆章 研究結果............................................................................-41-
第一節 人口學特性..................................................................-41-
第二節 產後一個月內婦女心理健康狀態描述與分析..........-45-
第三節 產後一個月內婦女飲食行為分析..............................-48-
第四節 分析產後一個月內婦女心理健康狀態及飲食行為
的關係..........................................................................-50-
第伍章 討論....................................................................................-51-
第一節 產後一個月內婦女心理健康狀態描述與分析..........-51-
第二節 產後一個月內婦女飲食行為分析.............................-53-
第三節 分析產後一個月婦女心理健康狀態及飲食行為
的關係.........................................................................-56-
第陸章 結論、限制與建議...........................................................-58-
第一節 結論.............................................................................-58-
第二節 限制與建議.................................................................-59-
參考文獻.........................................................................................-62-
中文文獻.........................................................................................- 62 -
英文文獻........................................................................................ - 65 -
附錄一 基本資料表....................................................................... -76-
附錄二 中文版愛丁堡產後憂鬱量(Edinburgh Postnatal
Depression Scale,EPDS).................................................................-77-
附錄三 荷蘭飲食行為量表(Dutch Eating Behavior
Questionnaire, DEBQ)....................................................................-78-
附錄四 國外原始作者愛丁堡產後憂鬱量(Edinburgh
Postnatal Depression Scale, EPDS)授權書....................................-81-
附錄五 國外原始作者荷蘭飲食行為量表(Dutch Eating
Behavior Questionnaire, DEBQ)授權書........................................-82-
附錄六 人體試驗委員會同意研究計畫證明書...........................-83-

圖目錄
圖表 1 研究架構圖........................................................................-25-
圖表 2 產後婦女一個月內心理健康狀態變化............................-46-
圖表 3 產後婦女一個月內心理憂鬱程度的變化........................-47-


表目錄
表格 1 統計分析計畫表................................................................-37-
表格 2 人口學分組變項於第一次測量心理健康狀態及
飲食行為得分之同質性檢定結果..................................-43-
表格 3 產後婦女一個月內不同時間點心理健康狀態描
述與差異分析(N= 80).....................................................-46-
表格 4 產後婦女一個月內不同時間點飲食行
為差異分析 (N=80)........................................................-48-
表格 5 產後一個月內婦女心理健康狀態及飲食行為-偏
相關模式分析(N=80)......................................................-50-
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