Correlates of First-Time Mothers' Postpartum Stress

產後壓力及其相關因素之探討

洪志秀(Chich-Hsiu Hung)

《The Kaohsiung Journal of Medical Sciences》 22卷10期 (2006/10) Pp. 500-507

摘要

本研究目的在於探討初產婦於出院後之產後壓力及其相關因素。在高雄市的醫院和診所招募陰道分娩183位正常懷孕和分娩，並娩下一位健康足月兒的初產婦，在她們出院之後的產褥期間以洪氏產後壓力量表進行資料收集，以探討初產婦在產褥期問之產後壓力和其產後壓力源。研究結果顯示，「嬰兒突然生病」、「腹部肌肉鬆弛」、「嬰兒的生活作息無法預期」、「夜裡睡眠中斷」、「嬰兒的睡姿會影響頭形」、「睡眠不足」、「缺乏嬰兒生長發育的知識」、「嬰兒哭鬧不休」、「生活不自由」、「餵奶時嬰兒嗆到」為初產婦最高的前十項產後壓力源。而初產婦的人口學資料與其產後壓力和三項產後壓力因素並沒有呈現統計上之相關。本研究有關初產婦的產後壓力與產後壓力源之研究結果可提供健康照護專業人員參考，尤其在發展相關課程和資源時，更應重視初產婦的獨特需求。

關鍵字

初產婦 ； 缺乏社會支持 ； 母育角色獲得 ； 負向身體改變 ； 產後壓力

並列摘要

The purpose of this study was to examine first-time mothers' postpartum stress and its correlates following discharge from the hospital or clinic after vaginal delivery. One hundred and eighty-three first-time mothers were enrolled from hospitals and clinics in Kaohsiung City. All first-time mothers reported normal pregnancies and vaginal deliveries, delivered healthy infants at term, and were surveyed during their postpartum periods after discharge from hospitals or clinics. The Hung Postpartum Stress Scale was used to examine first-time mothers' postpartum stress and stressors during their postpartum periods. The top ten postpartum stressors perceived by the women were: ”the baby getting sick suddenly”, ”the flabby flesh of my belly”, ”the unpredictability of the baby's schedule”, ”interrupted sleep”, ”the shape of the baby's head due to the sleeping position”, ”not sleeping enough”, ”lack of information regarding infant's growth and development”, ”the baby's crying”, ”my life is restricted”, and ”the baby choking during feeding”. There were no significant differences between the first-time mothers' demographic characteristics and their postpartum stress and its three components (negative body changes, maternal role attainment, lack of social support), respectively. Insight into the study results of first-time mothers' postpartum stress and stressors provides a reference for health professionals that the development of programs and resources addressing primiparous women's unique needs are required.

並列關鍵字

first-time mothers ； lack of social support ； maternal role attainment ； negative body changes ； postpartum stress