Tseng Y F, Chen C H, Wang H J, Tsai C Y
School of Nursing, Department of Nursing, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Aug;10(8):458-68.
The purpose of this study was to explore the difference in postpartum adjustment between women who were at home for there "doing the month" and those who stayed in a maternity care center. A repeated measures design was conducted, with data collected at 1 and 4 weeks postpartum. A total of 120 postpartum women participated in this study. Data were analyzed by factor analysis to determine the relationships within categories of postpartum strssors and depression. Then, the data were analyzed by 2 x 2 repeated measure MANOVA to determine the variations among groups and time. The results indicated that women who were in maternity centers for the "doing the month" perceived significantly higher stress than did the home group, and that women perceived higher stress at 4 weeks postpartum than at 1 week postpartum. Factor analysis of the data defined four categories of postpartum stress. It was found that women at maternity care centers perceived significantly higher stress from factors named, "stress from lacking of support system" and "stress from identifying maternal role". In addition, women doing the month at maternity care centers showed significantly higher depression level than women doing the month at home. However, there is no significant difference in postpartum stress and postpartum depression between time 1 (1 week postpartum) and time 2 (4 weeks postpartum).
本研究的目的是探讨在家“坐月子”的女性与住在母婴护理中心的女性产后调适情况的差异。采用重复测量设计，在产后1周和4周收集数据。共有120名产后女性参与了本研究。通过因子分析对数据进行分析，以确定产后压力源和抑郁类别之间的关系。然后，通过2×2重复测量多变量方差分析对数据进行分析，以确定组间和时间上的差异。结果表明，在母婴护理中心“坐月子”的女性比在家的女性感受到的压力显著更高，且女性在产后4周比产后1周感受到的压力更高。对数据进行因子分析确定了四类产后压力。研究发现，母婴护理中心的女性在“缺乏支持系统的压力”和“角色认同压力”等因素上感受到的压力显著更高。此外，在母婴护理中心“坐月子”的女性的抑郁水平显著高于在家“坐月子”的女性。然而，产后1周（产后第1周）和产后2周（产后第4周）在产后压力和产后抑郁方面没有显著差异。
