Comparison between Pregnant Southeast Asian Immigrant and Taiwanese Women in Terms of Pregnancy Knowledge, Attitude toward Pregnancy, Medical Service Experiences and Prenatal Care Behaviors

東南亞移民孕產婦及台灣孕產婦之妊娠知識、妊娠態度、就醫經驗及產前檢查行為之差異

林妙玲(Miao-Ling Lin) ； 謝汶惠(Carol Shieh) ； 王秀紅(Hsiu-Hung Wang)

《The Journal of Nursing Research》 16卷2期 (2008/06) Pp. 97-108

摘要

本研究目的主要是比較東南亞移民孕產婦與台灣孕產婦在妊娠知識、妊娠態度、就醫經驗及產前檢查行為的差異。研究結果可提供健康照護者做為衛生政策規劃的參考。研究方法採橫斷式設計，於高雄縣各鄉鎮社區及衛生所門診中選取妊娠二十八週至產後一年內之孕產婦為對象，共有132位東南亞籍婦女及127位本國籍婦女參與。研究工具採結構式問卷，包括基本資料表、妊娠知識量表、妊娠態度量表、就醫經驗量表及產前檢查行為量表。研究結果發現：東南亞移民婦女妊娠知識、妊娠態度及就醫經驗的得分都較本國婦女低。產前檢查行為方面，有26位(19.7%)東南亞移民婦女沒有在妊娠前三個月開始接受產前檢查，54 位(40.9%)沒有在妊娠期間定期接受產前檢查。東南亞移民婦女兩項產前檢查行為得分皆顯著低於本國婦女。健康照護人員應該提供東南亞移民婦女適當的產前衛生教育及適切的產前檢查、就醫資訊及諮詢管道，讓她們對健康照護系統、產前檢查的目的及重要性有正確的認知，並協助她們做好家庭計畫。

關鍵字

東南亞移民婦女 ； 妊娠知識 ； 妊娠態度 ； 就醫經驗 ； 產前檢查行為

並列摘要

The purpose of this study was to compare pregnant Southeast Asian immigrant and Taiwanese women in terms of their respective pregnancy knowledge, attitudes toward pregnancy, medical service experiences and prenatal care behaviors. Findings should provide a reference for the formulation of healthcare policies. This study used a cross-sectional design. Subjects were recruited from township/village communities or the outpatient services of local health centers in Kaohsiung County, southern Taiwan. Women between the 28th week of gestation and one year post-delivery were recruited. Atotal of 132 Southeast Asian immigrants and 127 Taiwanese women were included in this study. Questionnaires were used to collect data. Research instruments included the Demographic Inventory Scale, Knowledge of Pregnancy Scale, Attitude toward Pregnancy Scale, Experience of Medical Services Scale, and Prenatal Care Behavior Scale. Results showed scores of Southeast Asian immigrant women to be lower than those of Taiwanese women in terms pregnancy knowledge, attitude toward pregnancy, and medical service experiences. In terms of prenatal care behaviors, 26 Southeast Asian immigrant women (19.7%) did not receive prenatal care during the first three months, while 54 (40.9%) did not receive periodic prenatal care. These two prenatal care behavior scores for Southeast Asian immigrant women were significantly lower than those for Taiwanese women. Healthcare professionals should provide healthcare education to Southeast Asian immigrant women, assist their families to adopt family planning, and provide appropriate information on prenatal care and local medical services as well as consultation channels so that they can obtain accurate knowledge on the healthcare system and appreciate the purpose and importance of prenatal care.

並列關鍵字

Southeast Asian immigrant women ； pregnancy knowledge ； attitude toward pregnancy ； medical service experiences ； prenatal care behaviors

參考文獻

Bernstein, P. S.,Harrison, E. S.,Merkatz, I. R,W. R. Cohen (Ed.)(2000).Preconceptional and prenatal care.Philadelphia:Lippincott Williams & Winkins.

Braveman, P.,Marchi, K.,Egerter, S.,Pearl, M.,Neuhaus, J(2000).Barriers to timely prenatal care among women with insurance: The importance of pregnancy factors.Obstetrics & Gynecology.95(6),874-880.

Burks, J. A(1992).Factors in the utilization of prenatal services by low-income black women.Nurse Practitioner.17(4),34,46,49.

Choudhry, J. K(1998).Health promotion among immigrant women from India living in Canada.Image: Journal of Nursing Scholarship.30(3),269-274.

Dennis, L. I.,Flynn, B. C.,Martin, J. B(1995).Characteristics of pregnant women, utilization, and satisfaction with prenatal services in St. Petersburg, Russia.Public Health Nursing.12(6),374-377.