科技互動支持對產後知覺壓力與憂鬱之成效探討

The Effects of Interactive Social Support Network Program for Postnatal Perceived Stress and Depression

鄭雪玉(Hsuesh-Yu Cheng)

指導教授 ： 陳芬如

義守大學/醫學院/醫務管理學系/碩士(2016年)

摘要

背景：產後憂鬱為產婦常見健康問題，運用有效社會支持提供協助以降低產後憂鬱為重要議題，智慧型手機與社群平台的普及使得科技化介入處置的方式有更多可能性。
目的：本研究旨在探討以Line為介面的科技互動支持方案，對產婦改善產後知覺壓力與憂鬱之成效。
方法：採實驗性研究設計，於台灣南部某醫學中心產後執行。經解說同意後，126位懷孕36週後且有使用智慧型手機習慣者，隨機分配為實驗組(n=61)與對照組(n=65)，實驗組於產後4週以Line提供產婦每週2次科技互動支持方案，對照組則無介入方案，並以知覺壓力量表和愛丁堡憂鬱量表評估成效。
結果：透過Line與產婦進行科技互動支持之實驗組，知覺壓力(-1.57±4.29, p=.006) 與憂鬱程度(-1.08±3.85, p=.032)前後測都有顯著下降；對照組之知覺壓力(1.92±5.12, p=.004)與憂鬱程度(2.62±3.77, p<.001)都顯著上升。另控制前測之影響後，實驗組知覺壓力(F=27.25, p＜.001)與憂鬱(F=35.73, p＜.001)的改善程度都顯著優於對照組。
結論：以Line為介面的科技互動支持方案可有效降低產婦的知覺壓力與憂鬱程度，建議可應用於產後照護。

關鍵字

科技互動支持方案 ； 產後知覺壓力 ； 產後憂鬱

並列摘要

Background: Postpartum depression (PPD) is a common health problem for maternity women. Interventions for social support to effectively reduce postpartum depression degree to provide assistance is an important issue. For the highly prevalence of smart phones and social network, intervention implementation for this population have more possibilities.
Purpose:The study aimed to investigate the effects of a social support network program such as app Line on the degree of perceived stress and postnatal depression among maternity women.
Methods: An experimental study was conducted in a medical center located at southern Taiwan. After getting informed written consent, 126 smart phone user women with 36 weeks ‘gestation were recruited and randomly assigned into control (n=65) and intervention(n=61) groups. In the intervention group, through app Line, social support network program was provided twice per week for 4 weeks duration after their childbirths. The control group did not receive the program. The Perceived Stress Scale(PSS), and Edinburg Postnatal Depression Scale(EPDS) were used to assess the outcome of the social support network program.
Results: Maternity women in intervention group, receiving the support network program had significantly lower perceived stress (-1.57±4.29, p=.006) and postnatal depression(-1.08±3.85, p=.032) compared with pre-intervention. Whereas, the control group had significantly higher perceived stress (1.92±5.12, p=.004) and postnatal depression postnatally. ( 2.62±3.77, p＜.001). Adjusted pre-test of the impact, Intervention groups had significantly lower perceived stress (F=27.25, p＜.001) and postnatal depression degree (F=35.73, p＜.001) compared the control group.
Conclusion: This study provied that app Line as a social support network program significantly reduced the perceived stress and postnatal depression. According to this result, intervention program like app Line is suggested to be implemented in postpartum care.

並列關鍵字

Interactive Social Support Network Program ； Postnatal Perceived Stress ； Postnatal Depression

參考文獻

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