某市立醫院爸爸參與陪產措施現況及影響因素之分析

A Study of the Effect of the Father's Childbirth Participation in the Municipal Hospital

李英倫(Ying-Lun Li) ； 劉海婷(Hae-Tyng Liou) ； 許美霞(Meei-Shya Sheu) ； 紀玉秋(Yuh-Chiou Jih) ； 許美月(Meei-Yueh Sheu) ； 賴郁慧(Yuh-Huey Lai) ； 林善(Shann Lin)

《新臺北護理期刊》 3卷2期 (2001/08) Pp. 63-75

https://doi.org/10.6540/NTJN.2001.2.006

摘要

隨著時代潮流的演進，現代家庭的夫妻由於生產子女數少，爸爸陪伴其配偶待產與生產的過程，對男性而言已成為特殊與重要的經歷。本研究之目的有：一、瞭解該院實施爸爸陪措施的現況，二、瞭解影嚮爸爸參與陪產意願之相關因素，三、作為提供產時護理措施之參考。
在研究期間以自行設計之問卷經專家指導測試完成後，於88.10.1-11.8期間，凡是在該院產房陪伴太太（產婦不論胎次，為自然分娩且無特殊產科合併症者）待產或進入分娩室之爸爸均為研究對象，發給問卷，並於產後24小時回填，共計收案221份。資料以SPSS統計，依基本資料、對陪產的認知態度、陪產經驗是否影嚮爸爸下一次再陪產之態度，作百分比、卡方檢定之描述性及變項間關聯性測定分析。
結果發現：該院的陪產率已達37.6%，爸爸願意陪產的主要原因是分享太太的喜樂和痛苦，其次是醫護人員的鼓勵，家人支持、醫院政策的推動、接受產前教育等；而爸爸未參與陪產的因素最主要是擔心或害怕分娩的情境，其次依序是沒有心理準備、多位產婦同時生產、醫師認為不適合、太太不同意、照顧幼兒等原因。爸爸對陪產措施的態度多趨正向，並認為值得推廣。研究中同時瞭解受訪爸爸在陪伴生產的過程中可以協助太太的事項，使生產的過程更為美好，亦可作為護理人員提供產時照顧，鼓勵爸爸參與陪產措施與政策推廣的重要參考。

關鍵字

待產 ； 分娩 ； 爸爸陪產

並列摘要

The modern family has fewer children than did its ancestors. This makes it especially important for the father to join in the NSD experience. Our study attempted to help fathers understand why they should participate in the birthing process. At the same time we wanted to find out how this would effect the father, and finally to educate by sharing the information gained.
From October 1 to November 18, 1999, the study interviewed fathers who came to visit at Taipei Municipal Women and Children Hospital. A non-random sample of fathers (n=221) was used. They participated in NSD even at first births that were without OBS complications. SPSS software was used for statistical calculations. According to the information obtained, experience and knowledge effected possible future participation. Statistical data were provided in percentage, chi-square and analysis of variance.
The results show that 37.6% of fathers participated in the birthing process. The major findings positive factors were: the father’s desire to share in the mother’s suffering and happiness; the encouragement from nurse and physician; the support of the family and the hospital’s policy of support and education program.
The major negative factors were: the father’s fear of NSD; the father was not ready yet, there was many mother delivery synchronism, the doctor or the mammy’s attitudes not allowed and so did not need the father’s presence; the need for care for the other children in the family, etc.
Our conclusion is that the father’s participation in NSD had a positive effect and help the mother at birthing.

並列關鍵字

labor ； delivery ； father's childbirth participation