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護理研究 MEDLINEScopus

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篇名 分娩與生產過程之護理支持--比較待產婦與護理人員的知覺
卷期 8:4
並列篇名 Nursing Support during Labor and Delivery: Comparing Mothers' and Nurses' Perception
作者 曾英芬
頁次 470-482
關鍵字 護理支持社會支持分娩生產Nursing supportSocial supportLaborDeliveryTSCIMEDLINEScopus
出刊日期 200008

中文摘要

本研究目的旨在探討那些護理支持行為對於協助待產婦調適分挽與生產過程有助益,同時並比較待產婦與產房護理人員對護理支持行為的知覺是否有差異。方便取樣202位陰道生產產後婦女與61位產房護理人員為研究對象,以結構式問卷進行資料收集。研究結果顯示兩組樣本知覺最有幫助的五項分娩與生產護理支持行為:產婦組依序為教導待產婦女使用腹肌往下用力的方法、告知產程進展情形、教導呼吸和放鬆的方法、真實地回答問題與在乎待產婦,護理人員組則為教導待產婦使用腹肌往下用力的方法、解釋醫院例行常規及程序、稱讚待產婦、告知產程進展情形與在乎待產婦。28項護理支持行為經因素分析後發現共包含三個因素,研究顯示不論是待產婦女或是產房護理人員,皆認為「訊息支持」對於待產婦女因應待產與分娩壓力最有幫助,「情緒支持」次之, 「實質支持」的幫助性較低,而待產婦女對於三個因素所知覺的幫助性皆顯著低於護理人員(p< .01 )。此外,待產婦女所知覺護理支持的預測因子為丈夫陪產與性別期望;而護理人員知覺的護理支持之最佳預測因子則為醫院是否允許丈夫陪產。本研究建議醫院開放丈夫陪產,有助於待產婦女更有效地因應分挽與生產壓力。

英文摘要

The perception of social support from nurses has been shown to enhance a woman's coping effort and positive feeling about her labor experience. The purpose of this study was to examine (a) Which nursing support behaviors did mothers perceived as most helpful in assisting them to cope with labor and delivery? (b) Were there significant differences between nurses' and mothers' perceptions of the nursing support behaviors during labor and delivery? A group of mothers and a group of nurses were recruited: the mothers group were 202 women within 12 - 36 hours of their labor and deliver; the nurse group were 61 registered nurses with at least 6 months of labor and delivery experience. Nursing Support in Labor and Delivery Questionnaire was used to collect data, excepting the Demographic Data Form. The results indicated the most helpful behaviors perceived by women included instructing how to push, informing the women about their labor progress, instructing inbreathing / relaxing, answering questions truthfully, and making the women feel cared about as an individual. The most helpful behaviors perceived by nurses included instructing how to push, explaining hospital routines, giving praise, informing the women about their labor progress, and making the women feel cared about as an individual. Factor analysis of the data defined three categories of nursing support behaviors. It was found that in those women and nurses who perceived informational support as being the most helpful in coping with stress from labor and delivery, then tangible support was less helpful. In addition, significant differences were found between the two groups in the perceived helpfulness of three categories of nursing sup-port behaviors (p < .01). Results of stepwise multiple regression indicated that the best subset to predict the criterion variable of nursing support of women included birth attendance, and sex expectation of newborn. In the nurse group, hospital policy (permit birth attendance) explained 24.75% of the variance.

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