- 學位論文
婦女懷孕期間之便秘症狀、相關因素及處置
The Constipation Symptom, Its Related Factors and Management among Women during Pregnancy
摘要
便秘是懷孕婦女常見的問題，便秘不僅引起生理不適外，還造成精神無法集中做事。本研究目的在了解婦女之於懷孕期便秘的症狀、影響因素及處置。本研究係以回溯性研究方法，以懷孕之婦女為研究對象，採立意取樣，於台中某區域醫院之產科門診為研究場所。採用結構性問卷，包括人口學、孕期因素、生活型態因素(飲食、身體活動、睡眠品質)、便秘症狀與處置。收案日期於105年7月至105年9月，第一孕期收案62名，第二孕期65名，第三孕期53名，共180名，所收集之資料以SPSS 19.0 for Windows統計軟體進行分析。結果顯示約七成的各期婦女自覺懷孕後的便秘症狀比懷孕前症狀更為嚴重(p< .01）；人口學、孕期因素、飲食型態及身體活動和便秘症狀統計上無顯著差異，睡眠品質和懷孕便秘症狀在統計上呈低度正相關（r= .24，p< .01），且它為孕後便秘的一預測因子；懷孕期間便秘的處置種類與便秘症狀呈正相關（r=.33，p< .01）。因此，本研究結論是睡眠為影響孕期便秘的因素，而飲食和身體活動則非為懷孕便秘的影響因素。
並列摘要
Constipation is a common problem among pregnant women. It not only causes physical discomfort but also makes their spirit not concentrated on doing something. The purpose of this study was to explore the influencing factors and management of constipation among women during pregnancy. The research was designed as a retrospective study. The subjects recruited were women diagnosed pregnancy. A purposive sampling was conducted. The research place was the obstetrics’ outpatient services of a regional hospital in Taichung. A structured questionnaire used included demographic data, pregnant factors, life habit factors (diet, physical activity and sleep quality), constipation patterns and the management of constipation. The subjects recruited from July 2016 to September 2016. Sixty two cases were received in the first trimester, 65 in the second trimester, and 53 in the third trimester. The number of total enrolled ones is 180. The data collected were analyzed with SPSS 19.0 for Windows statistical software. The results of this study were shown as follows：(1) About seventy percent of women in each stage of pregnancy perceived their constipations after pregnancy were more serious than pre-pregnant ones (p< .01). (2) There were no statistically significant differences in demographics, gestational factors, diet patterns, physical activities and constipation symptoms. There was a statistically significant low and positive correlation between sleep quality and pregnant constipation (r=.24, p< .01). Furthermore, it was a predictor of constipation after pregnancy. (3) During pregnancy the kinds of constipation management had a positive correlation with constipation (r=.33, p<.01). Therefore, this study concluded that sleep was a factor affecting constipation during pregnancy, while diet and physical activity were not factors affecting pregnancy constipation.