- 期刊
Effect of Group Teaching Projects on Women's Stress during Postpartum Hospitalization
團體衛教對產後住院婦女壓力之影響
摘要
目前台灣正面臨著護理人員短缺和產婦早期出院的現象，因此產後衛教之效益有待評估。本研究的目的是由護理系師生於實習期間共同執行並確認和證團體衛教之成效。以準實驗法在南台灣的一所醫學中心共同收集230位產後婦女的資料(其中包括控制組119位婦女；實驗組又分成三小組：第一組產婦接受「產婦照顧」課程，第二組產婦接受「新生兒餵奶」課程，第三組產婦接受「新生兒照顧」課程)。由作者發展出的「產後壓力量表」，與由「家庭關懷指數」修改而成的「社會支持量表」用來施測並收集二組婦女的產後壓力及社會支持程度，並以T-test比較的產後壓力及社會支持的平均分數。結果顯示實驗組第一組在「產婦本身壓力」方面比控制組來得低，而實第三組在「朋友方面的支持」比控制組來得高。因此，產後團體衛教的「產婦照顧」課程在產後婦女壓力的減低與「新生兒照顧」課程在增進朋友支持面方面都呈現出其效益。未來此方面的衛教在經濟效益與個案福祉之證實有待更進一歲之研究調查。
關鍵字
無資料並列摘要
In view of the trend toward early hospital discharge and an acute nursing shortage in Taiwan, the effectiveness of postpartum teaching in meeting a mother’s immediate need for task performance should be evaluated. The purpose of this study was to identify and document the effectiveness of group teaching programs conducted as a collaborative effort by nursing teachers and student nurse during the practicum period. A quasiexperimental study was conducted with data collected form 230 women (control group was 119 women; experimental group was 111 women, including three subgroups: subgroup 1 received “maternal care” classes; subgroup 2 received “infant feeding” classes; and subgroup 3 received “newborn care” classes) at one medical center in southern Taiwan. The Postpartum Stress Inventory and a Social Support Scale were used to obtain postpartum stress and social support ratings for both groups. The t-test was used to compare the differences between groups of mean scores for postpartum stress and social support. Findings show that the mother-related stress of the experimental subgroups 1 was significantly less than in the control group, and the friend support in experimental subgroup 3 was significantly greater than in the control. Therefore, group teaching related to maternal care was found to be effective in lowering stress and classes related to newborn care resulted in increased friend support for the mother. More evidence to newborn care resulted in increased friend support for the mother. More evidence concerning the effectiveness of such teaching in economic terms and in terms of human welfare is urgently needed.
延伸閱讀
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