夫妻對「丈夫參與分娩過程」之態度與其相關因素

Correlates of Couples' Attitudes Toward Husband's Childbirth Participation

洪志秀(Chich-Hsiu Hung) ； 鍾信心(Hsin-Hsin Chung) ； 劉雅惠(Ya-Hui Liu)

《The Kaohsiung Journal of Medical Sciences》 13卷6期 (1997/06) Pp. 360-369

https://doi.org/10.6452/KJMS.199706.0360

摘要

本研究的目的乃在探討懷孕期間夫妻對「丈夫參與分娩過程」之態度與其相關因素。在南台灣的一所醫學中心，以橫斷性研究法並採用「修訂個人現代性量表」、「社會支持量表」、「曾氏心理健康量表」和「中國人健康問卷」等四種結構型問卷量表，針對100對計200位孕產期夫婦進行訪視。研究結果發現80.0%丈夫和73.0%妻子對「丈夫進入產房參與妻子的生產過程」持正向態度，而丈夫決定或妻子期望丈夫進入產房的原因包括（1）給予妻子心理支持；（2）迎接新生兒的來臨；（3）與妻子一起體驗生產過程；（4）對生產過程的好奇等四項因素而對「丈夫進入產房參與妻子的生產過程」持負向態度之丈夫和妻子分別為20.0%和27.0%，其原因經分析後歸類為（1）對妻子無法提供幫助；（2）民間禁忌；（3）擔心日後造成丈夫心理不良的影響；（4）有損妻子的身體形象等四項因素。以逐步對數複迴歸分析結果顯示，相較於對胎兒性別期望是「男女都無所謂」的孕婦，期望胎兒是「男孩」或「女孩」的孕婦比較傾向於期望丈夫參與其生產過程。而丈夫教育程度為專科或以下者比較大學以上程度者傾向於參妻子的生產過程。另外，在「不期望丈夫進入產房參生產過程」孕婦組的先生在社會支持得分上，比較「期望丈夫進入產房參與生產過程」孕婦組的先生高，尤其是來自朋友方面的支持。本研究顯示出丈夫進入產房參與妻子生產過程的需求和趨勢，為了支持和鼓勵丈夫參與生產過程，和以「家庭為中心」的醫療照護，生產教室的設直和產房開放實在有其大力推廣的必要性。

並列摘要

The purpose of this study was to explore the couples’ attitude toward husband’s childbirth participation and its context. By a cross-sectional study, data were collected from 100 couples who plant to deliver at one medical center in southern Taiwan. The modified version of individual Traditionality-Modernity Scale, a Social Support Scale, Zung’s Self-rating depression scale and Zung’s Self-rating Anxiety Scale, and the Chinese Health Questionnaire were used. Findings indicated that 73.0% wives and 80.0% husbands showed a favorable attitude toward husband’s childbirth participation. Four factors were identified to be associated with couples’ favorable attitude: (1) wife’s mental support; (2) welcome for newborn’s coming; (3) share in the childbirth with the wife together; (4) curiosity about the labor. In contrast, four factor related to unfavorable attitude were found: (1) unhelpful for the wife; (2) folk taboo; (3) husband’s psychological impact; and (4) wife’s negative body image. Moreover, logistic multiple regression indicated that those wives who desired a boy or a girl and those husbands who had junior college or below education tended to anticipate husband’s childbirth participation or tended to childbirth participation. In response to the social trend, it is necessary to conduct more childbirth classes and encourage husbands to be present in the delivery room in order to promote family-oriented care in our health care system.

並列關鍵字

couples' attitude ； husband ； childbirth particilpatoin