第三孕期懷孕婦女之生活品質及其相關因素

本研究旨在探討第三孕期懷孕婦女之生活品質及其相關因素，研究目的為:（1）探討第三孕期婦女之孕期不適症狀、壓力感受、生活品質；（2）分析第三孕期婦女人口學基本屬性、不適症狀、壓力感受、生活品質之相關性；（3）探討第三孕期婦女生活品質之重要預測因子。採橫斷式、相關性研究設計，並以結構式問卷收集資料，問卷內容包含人口學基本屬性、孕期不適症狀評估表、生活品質量表等三部分。以方便取樣之方式於南部某醫學中心產科門診收案，選取年滿20歲以上第三孕期懷孕婦女為研究對象，共207人，並將所得資料以IBM SPSS Statistics 19版套裝軟體進行統計分析，以描述性統計分析人口學基本屬性資料、皮爾森積差相關分析生活品質及其相關因素，並以逐步複迴歸分析生活品質之重要預測因子。　　研究結果發現：（1）研究對象生活品質指標得分為70.58分，屬中上程度；（2）「職業」、「教育程度」、「宗教信仰」、「個人平均月收入」、「家庭平均月收入」在生活品質上達顯著性差異；（3）研究對象之孕期不適症狀與孕期壓力感受呈顯著性正相關；（4）研究對象孕期不適症狀指標得分為41.91分，且不適症狀與生活品質及其四個範疇均為顯著性負相關；（5）研究對象孕期壓力感受之單題平均得分為1.88分，屬輕度壓力，孕期壓力感受與生活品質及其四個範疇均為顯著性負相關；（6）「孕期不適症狀」、「個人平均月收入」、「孕期壓力感受」、「計畫懷孕與否」為生活品質之重要預測因子，可解釋49.9%的總變異量，最重要之預測因子為孕期不適症狀。　　本研究結果可提供健康專業人員對於懷孕婦女之孕期不適症狀、孕期壓力感受與生活品質的相關性有進一步之瞭解；亦可提供健康專業人員做為臨床評估與照護之參考依據，以改善懷孕婦女之孕期不適症狀、孕期壓力感受，進而改善其生活品質。關鍵字：第三孕期懷孕婦女、孕期不適症狀、孕期壓力感受、生活品質。

關鍵字

懷孕婦女；第三孕期；孕期不適症狀；壓力感受；生活品質

並列摘要

The purpose of this study was to explore the quality of life (QOL) and its associated factors in the third trimester with pregnancy women. A cross sectional and correlation research design was used. In addition to demographic data, prenatal discomfort characteristics and QOL questionnaires were used to collected data. A convenience sample of 207 pregnancy women aged 20 years old or above in the third trimester was recruited from a medical center hospital in southern Taiwan after consent forms were obtained. The collected data were analyzed with IBM SPSS Statistics 19 software, including descriptive statistics, Pearson’s correlation coefficient, and multiple regression analysis. 　　The results of this study showed that (1) the index score of QOL was 70.58, a middle and above level; (2) occupation, educational level, religious belief, personal income per month and family income per month had a significant difference on QOL; (3) prenatal discomfort was positively correlated with pregnancy stress; (4) the index score of prenatal discomfort symptoms was 41.91and significantly correlated with QOL and the four dimensions of QOL; (5) the index score of pregnancy stress was 1.88, a low lever. It was significantly related to QOL and the four dimensions of QOL; (6) prenatal discomfort, personal income per month, pregnancy stress and planned pregnancy or not were the important predictors of QOL, accounting 49.9% of the variance in QOL. The prenatal discomfort symptom was the most important factor of QOL among pregnant women during the third trimester. 　　The results of this study could provide health care professionals to more understand the relationships among prenatal discomfort, pregnancy stress and QOL for pregnancy women during the third trimester. It could also provide health care professionals evidence-based data for assessing and caring these women to alleviate their prenatal discomfort and stress, and then improve their QOL during the third trimester. Key Words：pregnant women, the third trimester, prenatal discomfort,stress, quality of life.