正常和曾有不孕病史的懷孕婦女親子聯結之比較

Maternal-Fetal Attachment in Normal and Previously-Infertile Chinese Women

李從業(T.Y. Lee)

《護理研究》 2卷1期 (1994/03) Pp. 67-77

https://doi.org/10.7081/NR.199403.0067

摘要

過去二十幾年來，母親和新生兒之間的親子聯結逐漸受到重視，促進親子聯結的發展也成為產科護理實務中重要的一環，近年來又有學者認為親子聯結不僅於產後發展，而且早在受孕之後就已開始發展，胎動會加強此發展。曾有不孕病史的孕婦是羣很特殊的羣體，不孕的病史是否會影響到親子聯結的發展是個值得深思的問題。本研究即在探討正常受孕及曾有不孕病史的孕婦於懷孕期間親子聯結關系發展的差异。采長期性、比較性的研究設計。共77位懷孕婦女參與本研究，其中40位為正常孕婦女而37位為曾有不孕病史的懷孕婦女。參與者於懷孕第一分期和第二分期時，填寫二份問卷：基本資料和Cranley親子聯結測量表。采用重覆量數變异數分析測驗研究假設。結果顯示孕婦在懷孕期間會對胎兒展現出親密聯結且此種聯結的強度會隨著時間的進展而增強。進一步分析Cranley親子聯結測量表中的五個次量表，發現其中「和胎兒互動」次量表會因懷孕方式不同和時間的進展產生交互作用。本研究結果可供護理人員接觸到曾有不孕病史的懷孕婦女時，評估、教育以及計劃適當的護理措施。

關鍵字

親子聯結 ； 正常懷孕 ； 不孕後懷孕

並列摘要

The purpose of this study was to examine whether differences occur in maternal—fetal attachment over the first and second trimesters of a normal pregnancy and a pregnancy after infertility. A longitudinal, comparative design was implemented. A total of 77 Chinese women participated in this study:40 who had a normal pregnancy and 37 who had a history of infertility.
The participants completed the Demographic Data Questionnaire and the Cranley Maternal—Fetal Attachment Scale during the first and second trimesters. Repeated measures of ANOVA were utilized to test the study hypotheses. The results indicated that total Maternal-Fetal Attachment Scale scores and subscale scores increased significantly as time progressed. A significant interaction effect for type of pregnancy by time existed in the Interaction with the Fetus Subscales of the Maternal-Fetal Attachment Scale. Nurses can use these results in evaluating, educating, and planning appropriate interventions for women experiencing pregnancies after infertility.

並列關鍵字

maternal-fetal attachment ； normal pregnancy ； pregnancy after infertility