背景
近年來台灣跨國婚姻與移民人口增加。「移民」與「懷孕」可能造成婦女很大的生活壓力與健康威脅，在偏鄉地區不同族群孕婦的生活壓力與憂鬱症狀如何？相關性研究顯見不足。

目的
探討南台灣之本國籍及新移民（越南籍）孕婦的生活壓力與憂鬱症狀。

方法
在南台灣（屏東）四所地區型醫院之產前門診，邀請第三孕期之本國籍及越南籍婦女進行問卷調查，包括：生活困擾量表、社會支持量表及愛丁堡憂鬱量表。

結果
共有236 名本國籍及44 名越南籍孕婦提供資料。在生活困擾上兩群樣本較多反應：夫婦 關係、家務與病痛等問題。本國籍孕婦在「經濟負擔」而越南籍孕婦在「小孩學習問題」 與「身體受虐」的得分較高。越南籍孕婦呈現較多的生活困擾、較少的社會支持以及較 高比例的產前憂鬱。

結論／實務應用
護理人員應更加敏感地察覺來自不同背景、生活困擾以及缺乏社會支持的孕婦。新移民或特殊境遇的弱勢群體可能是健康受威脅的高危險群，因此對於這些準媽媽及其家人應進一步提供有效的護理措施與支持活動。

Background: An increasing number of women from other countries, mostly Mainland China and Southeast Asia, are marrying Taiwanese husbands and settling in Taiwan. Immigration, marriage abroad, and pregnancy may be stressful and adversely affect maternal health. Relatively little research has compared the life stress and depressive symptoms of pregnant women of different ethnic groups living in nonmetropolitan areas in Taiwan.

Purpose: This study investigates the levels of life stress and depressive symptoms in pregnant Taiwanese women and Vietnamese Bforeign brides[ currently living in southern Taiwan.

Methods: Eligible women in their last trimester of pregnancy who attended their local antenatal clinic were recruited for the study. Participants completed standardized measures, including the Difficult Life Circumstances Scale, Social Support APGAR Scale, and Edinburgh Postnatal Depression Scale.

Results: Two hundred thirty-six Taiwanese women and 44 Vietnamese women participated. Major life difficulties for both groups of women were related to their marital relationship, housing, or health problems. Taiwanese participants reported perceiving financial strain more often than their Vietnamese peers, whereas Vietnamese participants reported perceiving greater concerns regarding their children’s development and about recent physical abuse than their Taiwanese peers. Furthermore, the Vietnamese participants reported less social support and higher rates of antenatal depression than Taiwanese participants.

Conclusions/Implications for Practice: Clinical nurses and midwives should be sensitive to the particular difficulties and insufficient social support faced by pregnantwomenfrom different backgrounds in Taiwan. Women from foreign countries or those under unique challenging circumstances may face a particular risk of adverse outcomes. Identifying stresses informs the development of effective nursing interventions and support activities for new mothers and their families.