Nohara Mari, Miyagi Shigeji
Department of Nursing, Faculty of Health Sciences, Tsukuba International University.
Nihon Koshu Eisei Zasshi. 2009 Dec;56(12):849-62.
The primary purpose of this study was to measure family support for pregnant women after birth (PWAB) and to examine its relationships with quality of life (QOL), child care, and health conditions.
A self-administered questionnaire was distributed three times by mail to the women attending a maternity class in an urban hospital, during late pregnancy and one month and six months after birth (n=151). The objective was to assess family support (from husbands and parents), child care, health conditions, and QOL. An original QOL scale was developed using twelve items, revealing three factors: "Positive feeling", "contentment with the physical environment and financial situation (Surrounding factors)", and "satisfaction with lifestyle and relationships (Daily life)". We conducted path analysis to examine the correlates of the QOL scale.
(1) The support score of husbands increased gradually over the period of the study, while parents were found to be most supportive one month after birth. Additionally, husbands and parents were found to compensate for each other in their support. (2) The more support the PWAB received in a given period, the higher the mean scores for child care, health conditions, and QOL. (3) "Positive feeling" was influenced by the husband's support during the whole study period (i.e., during pregnancy and one month and six months after birth). "Surrounding factors" correlated with the husband's support during pregnancy and at one month after birth. "Daily life" correlated with the support most strongly at six months after birth.
Family support was shown to be a strong correlate for the QOL of PWAB. Providing family support could improve mothers' child care, health conditions, and QOL.
本研究的主要目的是衡量产后孕妇(PWAB)所获得的家庭支持,并考察其与生活质量(QOL)、儿童照料及健康状况之间的关系。
通过邮件向一家城市医院参加孕妇课程的女性发放自填式问卷,分别在孕晚期、产后1个月和6个月进行,共发放151份。目的是评估家庭支持(来自丈夫和父母)、儿童照料、健康状况及生活质量。使用12个条目编制了一个原创的生活质量量表,揭示了三个因素:“积极感受”、“对物质环境和经济状况的满意度(周围因素)”以及“对生活方式和人际关系的满意度(日常生活)”。我们进行路径分析以考察生活质量量表的相关因素。
(1)在研究期间,丈夫的支持得分逐渐增加,而父母在产后1个月时支持度最高。此外,发现丈夫和父母在支持方面相互补充。(2)PWAB在特定时期获得的支持越多,儿童照料、健康状况和生活质量的平均得分越高。(3)在整个研究期间(即孕期以及产后1个月和6个月),“积极感受”受丈夫支持的影响。“周围因素”与孕期及产后1个月时丈夫的支持相关。“日常生活”在产后6个月时与支持的相关性最强。
家庭支持被证明与PWAB的生活质量密切相关。提供家庭支持可以改善母亲的儿童照料、健康状况和生活质量。