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題名：東臺灣地區婦女生產經驗及其相關因素探討
書刊名：護理暨健康照護研究
作者：盧玉嬴 引用關係／劉書玉／高美玲 引用關係／吳淑芳 引用關係／梁淑媛 引用關係
作者(外文)：Lu, Yu-ying／Liu, Shu-yu／Gau, Meei-ling／Wu, Shu-fang／Liang, Shu-yuan
出版日期：2013
卷期：9:4
頁次：頁301-310
主題關鍵詞：生產經驗；生產支持；生產控制；Childbirth experience；Labor support；Labor control
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(3) 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:3
  • 共同引用共同引用:9
  • 點閱點閱:20
背景：一個成功且滿意的生產經驗不僅使女性產生成就感，更能獲得良好的自我概念及成就日後母親角色的能力。 目的：本研究旨在瞭解婦女於待產分娩期間所獲得之生產控制與支持，探討其對生產經驗之影響，藉以發展待產期間之相關護理措施，增進產婦正向及滿意的生產經驗。 方法：本研究採橫斷相關性研究設計，於台灣東部某一家區域醫院進行收案，共收集228位自然產後婦女，以結構式問卷進行資料收集，問卷包含：基本資料表、生產支持及生產控制量表、生產經驗量表。資料以百分比、次數、平均數、標準差呈現描述性資料，以獨立t檢定、單因子變異數、皮爾森積差相關、逐步迴歸進行推論性統計。 結果：本研究發現，婚姻狀況、生產支持、生產控制與生產經驗呈顯著相關(p < .05)；其餘基本屬性及產科學變項與生產經驗則無顯著差異(p > .05)，逐步迴歸分析發現婚姻狀況、生產控制及生產支持能為生產經驗預測變項，共可解釋11%的變異量(F = 7.93, p < .01)。 結論/臨床應用：應提昇產科照護人員生產支持相關知能與技巧，以及藉由產前教育準備課程、教導產痛因應技巧等方式協助產婦提升其生產控制感，以有效促進產婦正向之生產經驗。
Background: A successful and satisfying childbirth experience not only gives women a sense of accomplishment but also improves their self-esteem and their adaptation to new maternal responsibilities. Purpose: This study aims to understand the impact of new mothers’ perceived support and control during delivery on their childbirth experience. Findings may facilitate the development of appropriate nursing interventions to improve the childbirth experience. Methods: A cross-sectional survey was used to study 228 participants recruited from the postpartum ward of a teaching hospital in eastern Taiwan. A structured questionnaire that included a demographic survey, perceived labor support and control instrument, and childbirth experience instrument was used to collect data. Descriptive data were presented using percentage, mean, and standard deviation. Independent t-test, one-way ANOVA, Pearson correlation, and stepwise regression were used for inferential statistics. Results: Results revealed marital status, perceived support, and control during delivery to be significant predictors of childbirth experience satisfaction. These three factors accounted for 11% of total variance. Conclusions / Implications for Practice: Results support that obstetrics nursing personnel should further enhance their knowledge and skills related to labor support and help increase patients’ sense of control over their delivery in order to increase the positive feelings of these patients about the childbirth experience.
期刊論文
1.Goodman, P.、Mackey, M. C.、Tavakoli, A. S.(2004)。Factors related to childbirth satisfaction。Journal of Advanced Nursing，46(2)，212-219。  new window
2.Hardin, A. M.、Buckner, E. B.(2004)。Characteristics of a positive experience for women who have unmedicated childbirth。The Journal of Perinatal Education，13(4)，10-16。  new window
3.郭純毓、王秀禾、張慧蘭(20111100)。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。  延伸查詢new window
4.陳麗芳、李從業、張玉坤、夏萍絗、彭成煌(20010800)。婦女生產期望與生產經驗之相關性探討。護理雜誌，48(4)，61-72。new window  延伸查詢new window
5.曾紀萌、許洪坤、曾雅玲(20001000)。產婦與護理人員對護理支持需求認知之比較。護理研究，8(5)，542-556。new window  延伸查詢new window
6.劉淑惠、許玉雲(20070900)。人性化生產環境之概念分析。榮總護理，24(3)，306-312。new window  延伸查詢new window
7.Adams, E. D.(2008)。A practical approach tolabor support。Journal of Obstetric, Gynecologic & Neonatal，37(1)，106。  new window
8.Baker, K.(2010)。The importance of effective support during childbirth。British Journal of Midwifery，18(10)，665-668。  new window
9.Bowers, B. B.(2002)。Mother's€™ experiences of labor support: Exploration of qualitative research。Journal of Obstetric,Gynecologic, and Neonatal Nursing，31(6)，742-752。  new window
10.Bryanton, J.、Gagnon, A. J.、Johnston, C、Hatem, M(2008)。Predictors of womena'€™s perceptions of the childbirth experience。Journal of Obstetric, Gynecologic and Neonatal Nursing，37(1)，24-34。  new window
11.Chen, Chen-yu、Wang, Kuo-gon(20061200)。Are Routine Interventions Necessary in Normal Birth?。Taiwanese Journal of Obstetrics & Gynecology，45(4)，302-306。  new window
12.Christiaens, W.、Bracke, P.(2007)。Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective。BMC Pregnancy and Childbirth，7(1)，10-1186。  new window
13.Cook, K、Loomis, C.(2012)。The impact of choice and control on women’s childbirth experiences。The Journal of Perinatal Education，21(3)，158-168。  new window
14.Ford, E.、Ayers, S.(2011)。Support during birth interacts with prior trauma and birth intervention to predict postnatal post-traumatic stress symptoms。Psychology and Health，26(12)，1553-1570。  new window
15.Goer, H.、Leslie, M. S.、Romano, A.(2007)。Step 6: Does not routinely employ practices, procedures, unsupported by scientific evidence. The coalition for improving maternity services。The Journal of Perinatal Education，16(1)，32-64。  new window
16.Green, J. M.(2003)。Feeling in control during labor: Concepts, correlates, and consequences。Birth Issues in Perinat Care，30(4)，235-247。  new window
17.Hallgren, A、Kihlgren, M.、Olsson, P(2005)。Ways of relating during childbirth: An ethical responsibility and challenge for midwives。Nursing Ethics，12(6)，606-621。  new window
18.Hodnett, E. D.、Gates, S.、Hofmeyr, G. J.、Sakala, C.(2011)。Continuous support for women during childbirth。Cochrane Database of SystematicReviews Reviews，16(2)，10-1002。  new window
19.Howarth, A.、Swain, N、Treharne, G.(2010)。A review of psychosocial predictors of outcome in labour and childbirth。New Zealand College of Midwives Journal，42，17-20。  new window
20.Khresheh, R.(2010)。Support in the first stage of labour from a female relative: The first step in improving the quality of maternity services。Midwifery，26(6)，21-24。  new window
21.Leeds, L、Hargreaves, I.(2008)。The psychological consequences of childbirth。Journal of Reproductive and Infant Psychology，26(2)，108-122。  new window
22.Lundgren, I.(2005)。Swedish women’s experience of childbirth 2 years after birth。Midwifery，21(4)，346-354。  new window
23.Mackey, M. C.(1995)。Women'€™s evaluation of their childbirth performance。Maternal--Child Nursing Journal，23(2)，57-72。  new window
24.Sauls, D. J.(2006)。Dimensions of professional labor support for intrapartum practice。Journal of Nursing Scholarship，38(1)，36-41。  new window
25.Soet, J. E.、Brack, G. A.(2003)。Prevalence and predictors of women's experience of psychological trauma during childbirth。Birth，30(1)，36-46。  new window
26.Thorstensson, S、Ekstrom, A、Lundgren, I.(2012)。Exploring professional support offered by midwives during labour: An observation and interview study.Nursing Research and Practice。Nursing Research and Practice，1-10。  new window
27.Wagner, M.(2001)。Fish can't see water: The need to humanized birth。International Journal of Gynecology and Obstetrics，75(supplement)，S25-S37。  new window
28.Waldenstrom, U.、Hildingsson, I、Rubertsson, C.、Radestad, I.(2004)。A negative birth experience: Prevalence and risk Factors in a national sample。Birth，31(1)，17-27。  new window
29.Waldenstrom, U.、Hildingsson, I、Ryding, E. L.(2006)。Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth。BJOG: An International Journal of Obstetrics and Gynecology，113(6)，638-646。  new window
30.施惠玲、李從業、張玉坤(20061100)。護理指導對準父親陪產效能及產婦生產支持感受之影響。源遠護理，1(1)，43-52。  延伸查詢new window
31.張韶敏、陳彰惠(20001200)。分娩護理支持與產婦生產經驗之相關性探討。護理研究，8(6)，663-672。new window  延伸查詢new window
32.Marut, J. S.、Mercer, R. T.(1979)。Comparison of primiparas' perceptions of vaginal and cesarean births。Nursing Research，28(5)，260-266。  new window
學位論文
1.洪喜娟(2009)。婦女生產支持與生產控制感、生產滿意度之相關(碩士論文)。國立台北護理學院。  延伸查詢new window
2.張韶敏(1998)。分娩護理支持與生產經驗之相關性探討(碩士論文)。高雄醫學院。  延伸查詢new window
3.劉書玉(2011)。生產支持及控制量表中文版之信效度檢定(碩士論文)。國立臺北護理健康大學。  延伸查詢new window
圖書
1.Pillitteri, A.(2009)。Maternal and child health nursing。PA：Lippincott。  new window
 
 
 
 
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