產褥期間母親的關注與社會支持

Maternal Concerns and Social Support during Postpartum Period

鄭綉絨(Hsiu-Rong Cheng) ； 陳彰惠(Chung-Hey Chen)

《護理研究》 9卷3期 (2001/06) Pp. 322-332

https://doi.org/10.7081/NR.200106.0322

摘要

本研究旨在探討産褥期母親的關注，以及胎次、時間與社會支持對産褥期母新關注之影響。以方便取樣94名産婦，於産後初期及産後一個月進行問卷調查。研究工具包括：基本資料、母親關注量表與社會支持量表。結果發現：産褥期母親的關注涵蓋「生活和社交」、「母職角色」、「生理」與「心理」四大層面；以「母職角色」層面的關注程度最高；初産婦在「母職角色」的關注程度顯著高於經産婦；産後初期「生理的關注」程度高於産後一個月；産後一個月「心理的關注」程度高一産後初期，即産後一個月産婦身體的不適雖已減輕，但心理的關注卻增加，尤其初産婦心理的關注程度增加最多。社會支持程度與産褥期母親的關注並無顯著之相關；但當關注事件發生時，産褥期母親最常使用之協助資源爲丈夫。本研究之結果建議：産後的健康指導應針對「母職角色」方面提供産婦更豐富的資訊與技術指導；特別應針對初産婦的需求，提供完整而深入之指導。加強産後護理與社區衛生護理的聯系，追蹤須協助的個案，是産褥期護理可以努力的方面之一。

關鍵字

母親的關注 ； 社會支持 ； 産褥期

並列摘要

The purpose of this study was to explore the dimension of maternal concerns during postpartum, and the effects. of parity, time and social support on maternal concerns. Ninety-four women were recruited at one to five days after giving birth, and followed up at one month postpartum. Three instruments were used for data collection: the demographic questionnaire, the Maternal Concerns Questionnaire and the Interpersonal Support Evaluation List. There were four dimensions of postpartum maternal concerns: “concerns of life and social contact”, “concerns of maternal role”, “physiological concerns” and “psychological concerns”. The results shown that the most intensive concerns of postpartum women were about maternal role. Primiparas had more concerns about maternal role than multiparas. Physiological concerns at one-month postpartum were decreased markedly compared with the early postpartum period. Psychological concerns were increased from the early postpartum period to one-month postpartum, and in primiparas they were increased more significantly. There were no significant correlations between social support and maternal concerns. It is suggested that postpartum health education should provide more information and technical practice focusing on maternal role. Obstetric nurses and community health nurses should enhance postnatal follow-up.

並列關鍵字

maternal concerns ； social support ； postpartum

參考文獻

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