题名

産婦與護理人員對護理支持需求認知之比較

并列篇名

A Comparison between Women in Labor and Nursing Staff in Their Perceptions Toward the Needs of Nursing Support

DOI

10.7081/NR.200010.0542

作者

曾紀萌(Chi-Meng Tseng);許洪坤(Hong-Quen Shu);曾雅玲(Ya-Ling Tzeng)

关键词

護理支持 ; 待産 ; 認知 ; nursing support ; labor ; perception

期刊名称

護理研究

卷期/出版年月

8卷5期(2000 / 10 / 01)

页次

542 - 556

内容语文

繁體中文

中文摘要

本研究旨在瞭解産婦及護理人員對産時護理支持需求之認知程度,並進一步比較二者在護理支持需求認知程度之差異,及探討産婦與護理人員對所提供之護理支持的一致性。採問卷調查法,以某醫學中心産房護理人員及産婦爲對象,以配對方式各收集154份有效問卷,以百分比、平均數、標準差呈現描述性資料,以Paired t-test及one way ANOVA進行推論性統計。結果顯示:(1)産婦及護理人員對三類護理支持之需求認知程度均以情緒性護理支持平均得分最高,其次爲資訊性、直接照顧性護理支持;(2)在護理支持需求之比較方面,護理人員與産婦於三類護理支持中均有部份項目呈顯著差異;(3)護理人員所提供的護理支持與産婦所實際感受到護理支持之一致性介於68.8%-100%;(4)産婦的年齡在情緒性護理支持方面有顯著差異。本研究的結果有助於護理人員省視自己的護理行爲,並作爲提供符合産婦觀點之待産護理之參攷。

英文摘要

The purposes of this study were to understand the perceptions of women in labor and nursing staff toward the demands of nursing support during delivery, to compare their perceptions of nursing support, and to explore the consistency between the perception of women in labor toward nursing support and actual nursing care provided by nursing staff. The research design was based on a pair-up survey. One hundred and fifty four effective questionnaires were collected from the women in labor and their nursing staff from a medical center. Percentage, mean and standard deviation were used to show descriptive data. Paired t-test and one-way ANOVA were used for inferential statistics. The results revealed that emotional nursing support ranked the highest among three forms of nursing support in both groups, subsequently followed by informational nursing support and then direct-care nursing support. Comparison of the two groups’ perceptions revealed significant differences in certain nursing behaviors among all three forms of nursing support. The consistency between the perception of women in labor toward nursing support and the actual nursing care provided by nursing staff fell within 68.5%-100%. The age of the women in labor corresponded to a significant difference in emotional nursing support. The results of this study provide a helpful reference for nursing personnel to evaluate their own nursing behaviors and will enhance their insight to provide services that are closer to the expectations of women in labor.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. Bryanton, J.,Fraser-Davey, H.,Sullivan, P.(1994).Women` perception of nursing support during labor.Journal of Obstetric Gynecologic and Neonatal Nursing,23(8),638-644.
  2. Butani, P.(1980).Mothers`erception of their labor experiences.Maternal-Child Nursing Journal,9(2),73-81.
  3. Eggers, P.(1995).Pain is not a four letter word.International Journal of Childbirth Education,10(4),4-5.
  4. Evans, S.,Jeffrey, J.(1995).Maternal learning needs during labor and delivery.Journal of Obstetric Gynecologic and Neonatal Nursing,24(3),235-240.
  5. Field, P. A.(1987).Maternity nurses: How parents see us.International Journal of Nursing Studies,24(3),191-199.
  6. Gagnon, A. J.,Waghorn, K.(1999).One to one nurse labor support of nulliparous women stimulated with oxytocin.Journal of Obstetric Gynecologic and Neonatal Nursing,28(4),371-376.
  7. Hodnett, E.(1996).Nursing support of the laboring woman.Journal of Obstetric Gynecologic and Neonatal Nursing,25(3),257-264.
  8. Holroyd, E.,Lee, Y. K.,Wong, P. Y.,Yau, K. H.,Leung, S. L.(1997).Hong Kong Chinese women`s perception of support from midwives during labor.Midwifery,13(2),66-72.
  9. Kennedy, H. P.(1995).The essence of nurse-midwifery care: The woman`s story.Journal of Nurse-Midwifery,40(5),410-417.
  10. King, D.(1995).Management of pain in childbirth.International Journal of Childbirth Education,10(4),14-15.
  11. Kintz, D. L.(1987).Nursing support in labor.Journal of Obstetric Gynecologic and Neonatal Nursing,16,126-130.
  12. Larson, P. J.(1987).Comparison of cancer patients` and professional nurses` perceptions of important nurse caring behaviors.Heart & Lung,16(2),187-193.
  13. Lazarus, R. S.,Folkman, S.(1984).Stress appraisal and coping.
  14. Lynn, M.(1986).Determination and quantification of content validity.Nursing Research,35,382-385.
  15. Mackey, M. C.,Stepans, M. E. F.(1994).Women`s evaluations of their labor and delivery nurses.Journal of Obstetric Gynecologic and Neonatal Nursing,23(5),413-420.
  16. May, K. A.,Mahlmeister, L. R.(1994).Maternal and neonatal nursing: Family-centered care.
  17. McNiven, P.,Hodnett, E.,O`Brien-Pallas, L. L.(1992).Supporting women in labor: A work sampling study of the activities of labor and delivery nurse.Birth,19(1),3-8.
  18. Pasco, J. M.(1993).Social support during labor and duration of labor: A community based study.Public Health Nursing,10(2),97-99.
  19. Patton, L. L.,English, E. C.,Hambleton, J. D.(1985).Childbirth preparation and outcomes of labor and delivery in primparous women.Journal of Family Practice,20(4),375-378.
  20. Simkin, P.(1995).Reducing pain and enhancing progress in labor: A guide to nonpharmaclogic methods for maternity caregives.Birth,22(3),161-171.
  21. White, M. B.(1972).Importance of selected nursing activities.Nursing Research,21(21),4-14.
  22. Wolcott, H. D.,Conry, J. A.(2000).Normal labor.Manual of Obstetrics.
  23. 王璋、徐南麗、張惠玲(1985)。一般外科手術病人對護理工作滿意之研究。護理雜誌,35(1),47-59。
  24. 李麗珠、郭碧照(1998)。初產婦待產期間產痛分析及減輕產痛護理措施之探討。中山醫學雜誌,9(1),65-74。
  25. 李麗熒(1998)。待產婦女於產程中訊息需求之探討。長庚護理,9(1),33-41。
  26. 洪麗嬌、鍾聿琳(1996)。談產痛控制的理論及護理策略。國立台北護理學院學報,4,25-30。
  27. 張郁婉(1994)。待產婦產痛情形之分析及探討。公共衛生,21(2),128-141。
  28. 曾雅玲、余玉眉(1994)。正常分娩的初產婦於待產及生產時主觀經驗之探討。護理研究,4(2),327-338。
  29. 曾雅玲、黃美瑤(1999)。成年婦女對中醫藥知識、態度、行為及其相關因素之探討。中國醫藥雜誌,8(1),20-23。
  30. 盧美秀、林秋芬(1992)。重要護理行為的探討:比較護士與病人對重要護理行為的看法。護理雜誌,39(3),107-117。
  31. 鍾聿琳(1999)。二十一世紀的生產教育。護理雜誌,46(3),16-22。
  32. 鍾聿琳(1999)。生產教育課程成效之探討。國立台北護理學院學報,4,1-4。
被引用次数
  1. 陳瑩倢、郭碧照(2017)。中文版專業性生產支持知覺量表之信效度檢測。長庚護理,28(3),393-405。
  2. 郭純毓、張慧蘭、王秀禾(2011)。護理支持課程對待產婦生產支持感受及生產經驗之成效。助產雜誌,53,40-49。
  3. (2005)。極低體重早產兒母親於產後初期生理與心理的關注議題。亞東學報,25,151-157。