「丈夫參與分娩過程」對週產期夫妻心理反應之影響

本研究的目的是在產房中以一垂落的布簾將丈夫與產婦的分娩實景隔開以探討「丈夫參與分娩過程」對兼妻在週產期間之心理反應以及評估丈夫參與產房設有垂落布簾之生產過程對兼妻心理之影響。在南台灣的一所醫學中心，以準實驗性和縱貫性研究法並採用「曾氏心理健康量表」、「中國人健康問卷」、「社會支持量表」和「產後壓力量表」等四種結構型問卷量表，針對73對第一胎的準父母計146位孕產期夫婦在懷孕三十六週、產後第一週、產後第四週等三個時段進行訪視。二因子混合設計變異數分析之後，結果顯示妻子的憂鬱程度在丈夫參與分娩過程與否和產後不同時段的交互作用上有顯著差異，然而丈夫參與分娩過程的主要效果對夫妻焦慮、憂鬱、健康狀況、社會支持或妻子的產祳期壓力並沒有統計上的顯著差異，而本研究限制亦討論於後。

關鍵字

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並列摘要

The purpose of this study was to examine couples’ psychological responses toward husband’s childbirth participation over time and to confirm the function of the curtain in the delivery room. By a quasi-experimental and prospective longitudinal study, data were collected at three points of time from 73 couples who planned to deliver their first child at one medical center in southern Taiwan. The Zung’s Self-rating Anxiety scale and Zung’s Self-rating Depression Scale, the Chinese Health Questionnaire, a Social Support Scale, and the Postpartum Stress Scale were used. The two-way ANOVAwith repeated measures was used to compare the means of psychological responses between experimental and control groups at each point in time. The level of wife’s depression was influenced by the interaction of groups and times significantly. However, the main effect of husband’s childbirth participation on couples’anxiety, depression, health status, social support and the wife’s postpartum stress was not found and the limitations of the study were discussed.

並列關鍵字

couples ； childbirth ； participation ； psychological responses

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「丈夫參與分娩過程」對週產期夫妻心理反應之影響

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