Chen Ching-Min, Kuo Shu-Fen, Chou Yu-Hua, Chen Hsiu-Chuan
College of Nursing, Taipei Medical University, Taipei, Taiwan.
J Clin Nurs. 2007 Aug;16(8):1550-60. doi: 10.1111/j.1365-2702.2006.01837.x.
To reach the Millennium Development Goals, maternal health-promoting behaviours need to be encouraged after childbirth; little is known about the health-promoting behaviour among first-time mothers during their postpartum period.
To examine levels of engagement in health-promoting behaviours and related factors among postpartum women in Taiwan.
This cross-sectional study was conducted through a convenience sample of 122 qualified women. Participants self-completed a questionnaire and mailed it back using a stamped, self-addressed envelope from July to September 2003. Instruments of this study included a demographic questionnaire as well as three Likert-type scales: the Health Promotion Lifestyle Profile scale, the Edinburgh Postnatal Depression scale and a self-developed social support scale.
The average overall Health Promotion Lifestyle Profile score was low (mean, 2.83 SD 1.35), with exercise rated lowest among the six subscales. Postpartum women perceived that they had high levels of social support from their mothers-in-law, mothers and husbands. An astonishing 42.6% of women experienced postnatal depression. Based on results of multiple regressions, 25% of the variance in health-promoting lifestyle practices was explained by postpartum depression and social support. Social support was found to predict all subscales significantly except exercise. Postpartum depression can significantly predict self-actualization, interpersonal relationships, nutrition and stress management. All modifying factors were excluded from the regression model.
This study validates the theoretical relationships among concepts in the Health Promotion Model. Nursing interventions are recommended which are tailored to enhance women's social support and decrease their depression to promote their pursuit of healthy lifestyles.
This study highlights the implications of social support to nursing practice, especially in Chinese culture which has a strict ritual during a women's postpartum period. Findings of this study provide information and data for service planning and community care to support postpartum care in the communities.
为实现千年发展目标，产后需鼓励促进孕产妇健康的行为；对于初产妇产后促进健康行为的了解甚少。
探讨台湾产后妇女促进健康行为的参与水平及相关因素。
本横断面研究通过便利抽样选取了122名符合条件的妇女。参与者自行填写问卷，并于2003年7月至9月使用有邮票、写有自己地址的信封寄回。本研究的工具包括一份人口统计学问卷以及三个李克特量表：健康促进生活方式量表、爱丁堡产后抑郁量表和自行编制的社会支持量表。
健康促进生活方式量表的总体平均得分较低（均值为2.83，标准差为1.35），在六个子量表中，运动得分最低。产后妇女认为她们从婆婆、母亲和丈夫那里得到了高水平的社会支持。令人惊讶的是，42.6%的妇女经历了产后抑郁。基于多元回归结果，产后抑郁和社会支持解释了促进健康生活方式行为中25%的变异。发现社会支持能显著预测除运动外的所有子量表。产后抑郁能显著预测自我实现、人际关系、营养和压力管理。所有调节因素均被排除在回归模型之外。
本研究验证了健康促进模型中各概念之间的理论关系。建议采取护理干预措施，以增强妇女的社会支持并减轻其抑郁情绪，从而促进她们追求健康的生活方式。
本研究凸显了社会支持对护理实践的意义，尤其是在中国文化中，女性产后有着严格的习俗。本研究结果为社区产后护理的服务规划和社区护理提供了信息和数据支持。
