台灣東南亞籍孕產婦妊娠知識、妊娠態度及就醫環境與產前檢查行為之相關探討─以台灣籍孕產婦為對照

Knowledge of Pregnancy, Attitudes toward Pregnancy, Environment of Medical Services, and Prenatal Examination Behavior of the Southeast Asian Pregnant Women in Taiwan─A Comparison with Taiwan Pregnant Women

林妙玲(Miao-Ling Lin)

指導教授 ： 王秀紅

高雄醫學大學/護理學院/護理學系研究所/碩士(2004年)

摘要

本研究目的在探討東南亞籍孕產婦的妊娠知識、妊娠態度及就醫環境與產前檢查行為之相關性，並檢視產前檢查行為的重要預測因子。研究方法採橫斷式之研究設計，於高雄縣各鄉鎮社區及衛生所門診中取樣，選取妊娠二十八週至產後一年內之東南亞籍孕產婦為研究對象。另外，選取同為妊娠二十八週至產後一年內之本國籍孕產婦為對照組。有效樣本在東南亞籍孕產婦方面為132位，本國籍孕產婦127位。研究工具採結構式問卷，包括基本資料表、妊娠知識量表、妊娠態度量表、就醫環境量表。
研究結果發現：東南亞籍孕產婦的產前檢查行為，包括開始接受產前檢查的時間及懷孕期間產前檢查使用次數，皆較本國籍孕產婦差。80.3﹪的東南亞籍孕產婦開始接受產前檢查的時間評定為適當，59.1﹪的東南亞籍孕產婦懷孕期間產前檢查利用情況評定為適當。東南亞籍孕產婦在妊娠知識、妊娠態度及就醫環境的整體得分皆較本國籍孕產婦低，且達統計上的顯著差異。東南亞籍孕產婦個人基本屬性及整體妊娠知識、妊娠態度及就醫環境得分皆與產前檢查行為無顯著相關。但妊娠態度中有關對生育小孩的態度與產前檢查行為有顯著相關。東南亞籍孕產婦懷孕期間能適當利用產前檢查服務之預測因子為對生育小孩的期待態度、對早期接受產前檢查的認同態度以及來台灣的居住年限。
本研究可幫助護理人員了解東南亞籍孕產婦產前檢查行為的現況及相關因素。依研究結果建議護理人員協助東南亞籍孕產婦家庭計畫的規劃，並提供關於產前檢查服務的正確衛教資訊及就醫諮詢協助，進而提昇東南亞籍孕產婦之孕期健康。

關鍵字

產前檢查行為、妊娠知識、妊娠態度、就醫環境

並列摘要

The purposes of this study are to explore the relationships between knowledge of pregnancy, attitudes toward pregnancy, medical services environment, and prenatal examination behavior, variables behavior in pregnant Southeast Asian women. A total of 132 pregnant Southeastern Asian women recruited from community health centers in Kaohsiung county were interviewed by questionnaire. For comparison, 127 Taiwanese pregnant women were also interviewed by questionnaire. The questionnaires included a Demographic Inventory Scale, Knowledge of Pregnancy Scale, Attitudes toward Pregnancy Scale, and Medical Services Environment Scale. The data were analyzed by the JMP packaged statistical software.
The purposes of this study are to explore the relationships between knowledge of pregnancy, attitudes toward pregnancy, medical services environment, and prenatal examination behavior, variables behavior in pregnant Southeast Asian women. A total of 132 pregnant Southeastern Asian women recruited from community health centers in Kaohsiung county were interviewed by questionnaire. For comparison, 127 Taiwanese pregnant women were also interviewed by questionnaire. The questionnaires included a Demographic Inventory Scale, Knowledge of Pregnancy Scale, Attitudes toward Pregnancy Scale, and Medical Services Environment Scale. The data were analyzed by the JMP packaged statistical software.
The study’s major findings include: Southeast Asian pregnant women had poorer prenatal examination behavior, including prenatal examination initiation timing and actual number prenatal examinations in the partum, than Taiwanese pregnant women. Approximately 80.3% of pregnant Southeastern Asian women start their first prenatal examination and 59.1% of the pregnant Southeastern Asian women prenatal examinations were adequate. The pregnant Southeastern Asian women’s scores of knowledge of pregnancy, attitudes toward pregnancy, and environment of medical services are significantly lower than that of Taiwanese pregnant women. Pregnant Southeastern Asian women’s demographic characteristics, knowledge of pregnancy, attitudes toward pregnancy, and environment of medical services were not significantly correlated with prenatal examination behavior. However, their attitude regarding childbirth was significantly correlated with prenatal examination behavior. The positive attitude concerning childbirth and their attitude toward prenatal examination and the year spent in Taiwan were significant predictive factors of prenatal examination behavior.
The findings of this study can help nurses to understand antenatal examination behavior and relative factors regarding pregnant Southeast Asian women. The findings of this study can give guidance to nurses as they help pregnant Southeastern Asian women develop their childbearing plans, offer correct information and to help them seek medical service, and improve their health status in the partum.

並列關鍵字

attitudes toward pregnancy ； prenatal examination behavior ； medical services environment ； knowledge of pregnancy

參考文獻

中央健保局（2001）•全民健康保險孕婦健康手冊•台北：中央健康保險局。

陳淑月、蘇喜（1980）•影響孕婦接受產前檢查因素之初步探討•公共衛生，7（1），93-105。

陳麗美（1990）•新店市孕產婦懷孕結果─早產及出生之危險因素調查研究•公共衛生，17（2），195-207。

夏曉鵬（1997）•女性身體的貿易─台灣/印尼新娘貿易的階段與族群關係分析•東南亞區域研究通訊，2，72-83。

夏曉鵬（2000） •資本主義下的國際婚姻─以台灣的「外籍新娘」現象為例•台灣社會研究季刊，38，11-58。