Cheng H R, Chen C H
Department of Nursing, Chung Hwa College of Medical Technology.
Hu Li Yan Jiu. 2001 Jun;9(3):322-32.
The purpose of this study was to explore the dimension of maternal concerns during postpartum, and the effects of parity, time and social support on maternal concerns. Ninety-four women were recruited at one to five days after giving birth, and followed up at one month postpartum. Three instruments were used for data collection: the demographic questionnaire, the Maternal Concerns Questionnaire and the Interpersonal Support Evaluation List. There were four dimensions of postpartum maternal concerns: "concerns of life and social contact", "concerns of maternal role", "physiological concerns" and "psychological concerns". The results shown that the most intensive concerns of postpartum women were about maternal role. Primiparas had more concerns about maternal role than multiparas. Physiological concerns at one-month postpartum were decreased markedly compared with the early postpartum period. Psychological concerns were increased from the early postpartum period to one-month postpartum, and in primiparas they were increased more significantly. There were no significant correlations between social support and maternal concerns. It is suggested that postpartum health education should provide more information and technical practice focusing on maternal role. Obstetric nurses and community health nurses should enhance postnatal follow-up.
本研究旨在探讨产后母亲担忧的维度，以及胎次、时间和社会支持对母亲担忧的影响。94名女性在产后1至5天被招募，并在产后1个月进行随访。使用了三种工具进行数据收集：人口统计学问卷、母亲担忧问卷和人际支持评估清单。产后母亲担忧有四个维度：“生活与社会交往担忧”、“母亲角色担忧”、“生理担忧”和“心理担忧”。结果显示，产后女性最强烈的担忧是关于母亲角色。初产妇比经产妇对母亲角色有更多担忧。与产后早期相比，产后1个月时生理担忧明显减少。心理担忧从产后早期到产后1个月有所增加，且初产妇增加更为显著。社会支持与母亲担忧之间无显著相关性。建议产后健康教育应提供更多聚焦于母亲角色的信息和技术实践。产科护士和社区健康护士应加强产后随访。
