:::

詳目顯示

回上一頁
題名:探討產婦會陰切開術後會陰疼痛程度與困擾問題之相關性
書刊名:弘光學報
作者:王品臻蘇鈺婷張溥鴻
作者(外文):Wang, Pin-chenSu, YutingJang, Pu-hung
出版日期:2011
卷期:64
頁次:頁9-22
主題關鍵詞:會陰切開術困擾問題會陰疼痛EpisiotomyDistress problemsPerineum pain
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:3
  • 點閱點閱:108
根據研究顯示台灣婦女陰道分娩時執行會陰切開術的比例高達佔92.9%(郭,高,高,鄭,林,吳,2006),會陰切開術造成會陰部位的疼痛是產後婦女最常見的問題,不但造成婦女活動困難,影響婦女照顧新生兒的意願,進而可能導致生理的恢復延遲。本研究旨在探討產婦在會陰切開術後會陰疼痛與產後的困擾問題之相關性。採描述與相關性研究,以方便取樣方式於中部某區域教學醫院,針對執行會陰切開術後的陰道生產產婦進行收案,共取得有效樣本193份。本研究結果顯示產婦的會陰疼痛程度為中等;82.3%感到走路與移動有困難;76.1%解便時感到會陰部疼痛;結果發現會陰縫線種類(t=11.452,p<0.000)、溫水坐浴(t=12.412,p<0.001)、生產方式(t=8.361,p<0.004)在 產婦的疼痛程度上達顯著差異,且移動困難(r=0.461,p<0.000)、解便疼痛(r=0.454,p<0.000)、睡眠品質(r=0.537,p<0.000)、新生兒照顧(r=0.451,p<0.000)與會陰疼痛程度有顯著相關;多變項分析結果發現會陰縫線種類(β=0.623,p<0.030)、溫水坐浴(β=0.748,p<0.027)、解便疼痛(β=0.413,p<0.032)、睡眠品質(β=0.460,p<0.002)等與會陰疼痛達顯著相關,可解釋之變異量(R Square)為45.3%。研究結果強調一個完整的身體疼痛評估的重要性,並期望提供醫護人員對產婦疼痛問題的了解。
Episiotomy rate was 92.9% in Taiwan. Perineum pain is the most common problem of postpartum women. The purpose of this paper is to explore perineum pain after episiotomy induced distress problems and relative factors. This is a descriptive, cross-sectional correlation design. A total of 193 valid questionnaires were collected. Results of this study found : degree of perineum pain was medium; 82.3% showed walking and moving difficulty ; 76.1% had defecated pain. One-way ANOVA and Pearson's correlation shows significant correlation among type of suture(t=11.452,p<0.000), sitz bath(t=12.412,p<0.001), way of delivery (t=8.361,p<0.004), sleep quality(r=0.537,p<0.000), moving difficulty (r=0.461,p<0.000), newborn care (r=0.451,p<0.000) and perineum pain. Multiple linear regression shows significant differences between sitz bath (B=0.748,p<0.027), type of suture (B=0.623,p<0.030), walking and moving difficulty, defecated pain(B=0.413,p<0.032), sleep quality (B=0.460,p<0.002) and perineum pain, explaining 45.3% of the variance. This study provides understanding of perineum pain for nurses, and suggests a well assessment of pain is important.
期刊論文
1.曾家琳、張珏(20060600)。「會陰切開術」的當代爭議與其必要性的論述分析。女學學誌,21,47-112。new window  延伸查詢new window
2.鄒梅春(20020700)。常規性會陰切開術之省思。助產雜誌,45,27-30。  延伸查詢new window
3.Vakilian, K.、Atarha, M.、Bekhradi, R.、Chaman, R.(2010)。Healing advantages of lavender essential oil during episiotomy recovery: A clinical trial。Complementary Therapies in Clinical Practice,17(1),50-53。  new window
其他
1.王品臻(2004)。待產和生產的合併症。  延伸查詢new window
2.王麗君、許譿君(2005)。某醫學中心產婦會陰肌肉收縮運動對於會陰傷口疼痛程度之影響。  延伸查詢new window
3.司晏芳(2006)。會陰切開術:台灣女人難逃一剪。  延伸查詢new window
4.李耀泰(2002)。自然生產不切開會陰更好。  延伸查詢new window
5.林素瑛、高美玲、李佳琳、李絳桃(2008)。陰道生產之產婦首次泌乳時間及其相關因素。  延伸查詢new window
6.林盈慧(2010)。分娩期婦女的護理。  延伸查詢new window
7.曾英芬、陳信孚(2008)。待產及分娩的護理。  延伸查詢new window
8.郭素珍、高美玲、高千惠、鄭博仁、林寬佳、吳祥鳳(2006)。94年度促進民眾健康照護品質計畫成果摘要-婦女接受生產實務之評估及改進。  延伸查詢new window
9.顏兆熊(2005)。會陰切開術。  延伸查詢new window
10.Albers, L., Garcia, J., Renfrew, M., McCandlish, R., & Elbourne, D.(1999)。Distribution of genital tract trauma in childbirth and related postnatal pain。  new window
11.Blincoe, A. J.(2005)。Suturing methods for perineal tears following spontaneous vaginal delivery。  new window
12.Breitkreuz, L. C.(1998)。Characteristics, knowledge, and perceptions of women who receive episiotomy。  new window
13.Chang, S.-R., Chen, K.-H., Lin, H.-H., Chao, Y.-M. Y., & Lai, Y.-H.(2010)。Comparison of the effects of episiotomy and no episiotomy on pain, urinary incontinence, and sexual function 3 months postpartum: A prospective follow-up study。  new window
14.Dannecker, C., Hillemanns, P., Strauss, A., Hasbargen, U., Hepp, H., & Anthuber, C.(2004)。Episiotomy and perineal tears presumed to be imminent: randomized controlled trial。  new window
15.Dinah, G.(2007)。Perineal tears and episiotomy。  new window
16.Grant, A.(1989)。The choice of suture materials and techniques for repair of perineal trauma: an overview of the evidence from controlled trials。  new window
17.Hiaev, Z., Lurie, S., Baider, C., Sadan, O., & Glezerman, M.(2005)。The impact of introduction of selective episiotomy policy on the rate of episiotomy and associated perineal trauma。  new window
18.Hoa, J. J., Pattanittum, P., Japaraj, R. P., Turner, T., Swadpanich, U., & Crowther, C. A.(2010)。Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma。  new window
19.Karacam, Z., & Eroglu, K.(2003)。Effects of episiotomy on bonding and mothers' health。  new window
20.Macarthur, A. J., & Macarthur, C.(2004)。Incidence, severity, and determinants of perineal pain after vaginal delivery: a prospective cohort study。  new window
21.Marchisio, S., Ferraccioli, K., Barbieri, A., Porcelli, A., & Panella, M.(2006)。Care pathways in obstetrics: the effectiveness in reducing the incidence of episiotomy in childbirth。  new window
22.Romano, A. M., & Goer, H.(2008)。Research summaries for normal birth。  new window
23.Sleep, J., Grant, A., Garcia, J., Elbourne, D., Spencer, J., Chalmers, I., et al.(2002)。West Berkshire perineal management trial Exemplary Research For Nursing & Midwifery。  new window
24.Steen, M.(2007)。Perineal tears and episiotomy: how do wounds heal?。  new window
25.Steen, M.(2008)。Understanding perineal pain: women's descriptions。  new window
26.Schinkel, N., Colbus, L., Soltner, C., ParotSchinkel, E., Naar, L., Fourni, A., Granry, J. C., &.Beydon, L.(2010)。Perineal infiltration with lidocaine 1%, ropivacaine 0.75%, or placebo for episiotomy repair in parturients who received epidural labor analgesia: a double-blind randomized study。  new window
27.Way, S.(1998)。Social construction of episiotomy。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE