單胞與雙胞胎產婦產後焦慮的比較

Postpartum Anxiety among Mothers of Twins and Singletons

張珏(Chueh Chang)

《中華民國公共衛生學會雜誌》 9卷1期 (1989/03) Pp. 29-37

https://doi.org/10.6288/JNPHARC1989-09-01-03

摘要

爲了明瞭雙胞胎產婦是否比其他單胞胎產婦承受較多的產後焦慮，特別針對40位雙胞胎產婦與24位單胞胎產婦在產後3-5天內進行問卷訪問。然後根據Spielberger的情境－特質焦慮問卷與其出生別、生產方式等資料進行分析比較。結果發現單純比較胎性（單胞胎與雙胞胎）在特質焦慮與產後情境焦慮上的差別，都無明顯不同，只是情境焦慮得分都比特質焦慮爲低。在生產方式，胎次別上，不論特質或產後焦慮也都無差別，在足月與否上，體重是否大於2500公克以上，則發現在特質焦慮上二組無差別，但在產後焦慮則不足月的高於足月的，而體重不足者高於體重足者（其間祛除雙胞胎一爲足月一爲不足月者）。進一步用單變項變異數分析，則在雙胞胎中，不足體重者產後焦慮，明顯高於體重足與有一個不足者。然進一步用配對t檢驗方式比較胎兒體重、出生別、生產方式上單雙胞胎產婦的差異時，則發現雙胞胎爲自然分娩者，產後情境焦慮有顯著下降，而剖腹者則無。單胞胎則皆無差別。在胎次方面不論單胞或雙胞，特質與情境焦慮在第二胎有顯著下降。雙胞胎體重大於2500公克者，產後情境焦慮亦下降很多，懷孕週數足月的雙胞胎，其產後焦慮下降很多。最後對本研究結果，提出研究限制、討論與未來展望。

並列摘要

In order to examine the level of postpartum anxiety between mothers of twins and of singletons, Spielberger's State-Trait Anxiety Inventory was taken of 40 mothers of twins and 24 mothers of singletons 3-5 days postpartum. No differences between mothers of singletons and of twins were found for state or trait anxiety. However, the scores for state anxiety were overall lower than those for trait anxiety.
Paired t-test was applied to examine associations of different factors with trait and state anxiety. Postpartum anxiety was significantly lower than trait anxiety in mothers of twins who had normal deliveries, in mothers (both of twins and of singletons) experiencing their second delivery, and in mothers of twins who had full-term pregnancies delivering infants weighing more than 2500 g. Possible explanations for these results, limitations, and further study of these issues are discussed.

並列關鍵字

anxiety neuroses ； twins