分娩護理支持與産婦生産經驗之相關性探討

A Correlational Study of Nursing Support in Labor and Woman's Birth Experience

10.7081/NR.200012.0663

張韶敏(Shao-Min Chang)；陳彰惠(Chung-Hey Chen)

分娩護理支持 ； 生産經驗 ； nursing support in labor ； birth experience

護理研究

8卷6期（2000 / 12 / 01）

663 - 672

繁體中文

懷孕和生産經驗深遠地影響女性的認知，婦女的分娩經驗可能影響自我概念及日後母職角色的能力。分娩過程中護理人員的支持行爲是協助女因應分娩壓力的主要來源之一，瞭解母親的生産經驗態度可協助産後的經驗統整，並有利母職任務的順利發展。本研究之目的包括瞭解産婦的生産經驗和所感受的分娩護理支持及探討分娩護理支持與生産經驗之相關性。採用調查研究法，以方便取樣於南部二所醫學中心及一所地區醫院的産物病房選取陰道生産婦女爲樣本，有效樣本117。以結構式問卷收集資料及t檢定、單因子變異數分析和皮爾森積差相關進行統計分析。研究結果發現産婦的生産經驗屬於中度正向的知覺感受，其與主要陪産者有關，待産期間先生是主要陪産者的産婦其生産經驗的平均得分顯著高於主要陪産者爲其他家人的産婦。分娩護理支持與産婦之生産經驗呈正相關，整體分娩護理支持對産婦的幫助程度屬於有幫助，而「情緒支持」和「訊息支持」對因應分娩壓力有幫助。應用本研究之結果將有助於産科臨床護理人員提供産婦合宜之分娩護理服務，以改善護理照護方式並促進産婦擁有正向且滿意的生産經驗。

Pregnancy and birth experience profundly influence a woman’s identity. After a woman undergoes the childbearing process, her subjectively perceived experience may influence her self-conception and ability to be a mother in the future. During the process of childbirth, the supportive behavior of nurses is one of the major sources that help a woman to cope with stress from parturition. On the other hand, to understand a mother’s attitude towards birth experience can help to coordinate birth experience postpartum. Hence, the job of being a mother can be developed fluently. The research objectives of this study included understanding the feelings of birth experience of a woman, the perception of nursing support in labor, and the relationship between nursing support in labor and birth experience. Therefore, this research used survey study and convenience sampling from postpartum wards in two medical centers and a regional hospital in South Taiwan, with 117 effective samples. The data were analyzed using t-test, one-way ANOVA, and Pearson’s correlation. The results were as follows: First, for a woman’s birth experience to be perceived as moderately positive, a determining factor the main partner during the childbearing period. The score of a woman’s birth experience was significantly higher if the main partner during the childbearing period was her husband rather than other family. Second, the birth experience was found positively correlated to nursing support in labor. The perception of nursing support in labor was helpful for a woman in coping with stress during the childbearing period. Both “emotional support” and “informational support” were helpful in coping with stress in labor. The result of this research would help obstetric nurses to provide appropriate nursing service for women in labor, so as to elevate nursing care quality and help women to have positive and satisfactory birth experience.

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