不同孕期婦女之生活品質的比較

本研究主要目的為比較不同孕期婦女之生活品質及其相關因素，針對不同孕期婦女進行生活品質調查及比較，並進一步探討其相關因素。採描述性、比較性之橫斷式研究設計，以結構式問卷、方便取樣方式收集資料，於南部地區婦產專科醫院及醫學中心產檢門診完成541人的資料收集。使用SPSS 19.0版電腦套裝軟體進行描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關分析及複迴歸等統計分析。結果發現，第三孕期婦女的生活品質較第一孕期婦女佳。而不同孕期的相關因素在第一孕期懷孕週數愈少、孕期不適症狀數量愈多，則孕期壓力愈大，生活品質愈差；第二孕期及第三孕期則為個人平均月收入或全家平均月收入愈低、孕期不適症狀數量愈多，則孕期壓力愈大，生活品質愈差。本研究結果提供不同孕期懷孕婦女生活品質及其相關因素的實證資料，也可提供未來護理與助產教育的具體參考，可做為臨床照護的依據，針對孕期的相關因素給予合適的護理措施，以增進各孕期婦女的生活品質

關鍵字

孕期壓力；孕期不適症狀；孕期生活品質

並列摘要

The purpose of this study was to compare the quality of life and its correlates among pregnant women in different trimesters. To explore factors affecting the quality of life of pregnant women in different trimesters, a survey was conducted. Based on a descriptive and comparative cross-sectional approach, this study conducted a structured questionnaire to collect data via a convenience sampling. The sample consisted of 541 pregnant women who visited hospitals or medical centers in southern regions of Taiwan for prenatal examination. Data were analyzed by SPSS 19.0 using methods of descriptive statistics, independent sample t-test, one-way ANOVA, Pearson product-moment correlation, and regression analysis. Results showed that pregnant women in the third trimester had better quality of life than those in the first. For women in the first trimester, gestational weeks were a factor affecting their quality of life. Women in the earlier weeks of pregnancy tended to suffer more uncomfortable symptoms, which would result in higher prenatal stress and poorer quality of life. For pregnant women in the second or third trimester, individual monthly income or household monthly income was a factor affecting their quality of life. Women with a lower individual or household income tended to suffer more uncomfortable symptoms, which would result in higher prenatal stress and poorer quality of life. This study obtained empirical results regarding the quality of life and its correlates of pregnant women in different trimesters. The results can be a reference for nursing and midwifery education, as well as clinical care in improving the quality of life of pregnant women in all trimesters.