產後婦女生活品質之初探

本研究旨在探討產後婦女生活品質及其預測因子，研究目的為：(1)了解產後婦女的生活品質；(2)了解產後婦女的基本屬性、產科學屬性和睡眠時間與其生活品質之關係；(3)探討產後婦女生活品質之預測因子。採橫斷式、相關性研究設計，以結構式問卷收集資料，問卷內容包含人口學基本屬性、產科學屬性及生活品質量表，以方便取樣方式於南部區域教學醫院及地區醫院產後病房收案，選取年滿20歲以上、產後六週內之本國籍婦女為研究對象，共263人，將所得資料以IBM SPSS Statistics 21.0版統計軟體進行描述性統計、獨立樣本t檢定、單因子變異數分析及逐步複迴歸分析。研究結果發現：(1)研究對象的生活品質平均得分為13.6分，整體生活品質屬中上程度；(2)「家庭平均月收入」、「孕產合併症」、「坐月子地點」、「睡眠時間」在生活品質上達顯著性差異；(3) 「睡眠時間」、「家庭平均月收入」為產後生活品質之重要預測因子，共可解釋10.4%之總變異量，最重要之預測因子為「睡眠時間」。本研究結果可提供專業照護人員進一步了解產後婦女生活品質及其相關因素，也可提供未來護理實務及教育的具體參考依據，針對產後的相關影響因素給予合適之護理措施，以增進產後婦女之生活品質。

關鍵字

產後婦女；睡眠時間；生活品質

並列摘要

This research investigated the quality of life (QOL) and its predictors in the postpartum women. The purposes of this study were to: (1) explore the QOL of postpartum women; (2) analyze the relationships among demographic characteristics, obstetrics characteristics, sleeping times and QOL; and (3) identify the important predictors of QOL in postpartum women. A cross-sectional and correlation research design was used. Structured questionnaires, including demographic data, obstetrics data, and QOL, were used to collect data. A convenience sampling of 263 women aged 20 years or above was recruited from the southern Taiwan. The collected data were analyzed by IBM SPSS Statistics 21.0 software, including descriptive statistics and multiple regression analysis. The results of this study showed that (1) index score of QOL was 13.6, an upper intermediate level; (2) family income per month, perinatal complications, place of "doing the month", and sleeping times had a significant effect on QOL; (3) family income per month and sleeping times were the important predictors of QOL, explaining 10.4% of the total variances in QOL. The results of this study may help health professionals in understanding the QOL and the related factors of postpartum women. It could also provide evidence-based data for practice and education in nursing to improve QOL of postpartum women in the future.