比較接受生殖科技妊娠與自然妊娠之早產兒母親的照顧困難、社會支持與婚姻滿意度

Coping, Support, and Marital Satisfaction among Mothers with Premature Infants Following Assisted Reproduction or Natural Conception

高美華(Mei-Hua Kao) ； 郭素珍(Su-Chen Kuo) ； 蘇聰賢(Tsung-Hsien Su) ； 陳治平(Chie-Pein Chen)

《馬偕護理雜誌》 2卷2期 (2008/07) Pp. 16-28

https://doi.org/10.29415/JMKN.200807_2(2).0002

摘要

The purpose of this study was to compare social support, marital satisfaction, and coping strategies in caring for premature infants between mothers who had conceived naturally and those who had undergone assisted reproduction. Assessment instruments included a ”Coping with Difficulties Scale,” ”Social Support Scale,” and ”Marital Satisfaction Scale,” in a structured questionnaire which was administered to 672 women in the first year after a premature delivery. The questionnaires were distributed from June 2002 to August 2002, and the response rate was 60.6% (407/672). Mothers who had conceived naturally reported higher levels of difficulty coping in caring for their babies than those who had conceived with assistance (t = 1.28, p = 0.18). Mothers who had undergone assisted reproduction reported higher levels of social support (t = -1.72, p = 0.09) and higher levels of marital satisfaction, both (before (t = -1.15, p = 0.25) and after birth (t = -0.43, p = 0.67), than did those who had conceived naturally. Marital satisfaction declined significantly from pre-birth levels in both groups after arrival of the baby (natural conception: paired t = 7.48, p ＜ 0.001, assisted reproduction: paired t = 5.84, p ＜ 0.001). The coping with difficulties scores were negatively correlated with marital satisfaction in both groups. The social support scores were positively correlated with marital satisfaction, as were the levels of pre- and post-birth marital satisfaction. These research results can serve as a reference for new mothers, clinical medical professionals, and home service providers.

關鍵字

早產兒母親 ； 生殖科技 ； 照顧困難 ； 社會支持 ； 婚姻滿意度

並列摘要

The purpose of this study was to compare social support, marital satisfaction, and coping strategies in caring for premature infants between mothers who had conceived naturally and those who had undergone assisted reproduction. Assessment instruments included a ”Coping with Difficulties Scale,” ”Social Support Scale,” and ”Marital Satisfaction Scale,” in a structured questionnaire which was administered to 672 women in the first year after a premature delivery. The questionnaires were distributed from June 2002 to August 2002, and the response rate was 60.6% (407/672). Mothers who had conceived naturally reported higher levels of difficulty coping in caring for their babies than those who had conceived with assistance (t = 1.28, p = 0.18). Mothers who had undergone assisted reproduction reported higher levels of social support (t = -1.72, p = 0.09) and higher levels of marital satisfaction, both (before (t = -1.15, p = 0.25) and after birth (t = -0.43, p = 0.67), than did those who had conceived naturally. Marital satisfaction declined significantly from pre-birth levels in both groups after arrival of the baby (natural conception: paired t = 7.48, p ＜ 0.001, assisted reproduction: paired t = 5.84, p ＜ 0.001). The coping with difficulties scores were negatively correlated with marital satisfaction in both groups. The social support scores were positively correlated with marital satisfaction, as were the levels of pre- and post-birth marital satisfaction. These research results can serve as a reference for new mothers, clinical medical professionals, and home service providers.

並列關鍵字

mother of premature infant ； assisted reproductive technology ； difficulty of taking care ； social support ； marital satisfaction