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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 黃璉華(Lian-Hua Huang) | |
| dc.contributor.author | Ching-Ju Yu | en |
| dc.contributor.author | 余靜如 | zh_TW |
| dc.date.accessioned | 2021-06-15T16:25:21Z | - |
| dc.date.available | 2016-09-25 | |
| dc.date.copyright | 2015-09-25 | |
| dc.date.issued | 2015 | |
| dc.date.submitted | 2015-08-14 | |
| dc.identifier.citation | 中文部分
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Zhonghua Fu Chan Ke Za Zhi, 46(12), 901-4. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/52736 | - |
| dc.description.abstract | 減胎手術指將多胞胎妊娠的胎兒總數減少的過程。當懷三胎或四胎(高胎數)時，會造成流產、死胎的危險機率上升且對胎兒造成永久性的傷害，多胞胎妊娠會增加母體及胎兒的合併症，醫療上建議減胎。
本研究目的係探討多胞胎婦女面對減胎術決策的過程與產前憂鬱程度。以立意取樣方式在台北市某婦產專科診所，進行多胞胎婦女面對減胎時之決策因素問卷調查，共收取112位個案。研究工具為結構式問卷，內容包括研究對象基本屬性、懷孕經驗、減胎決策量表、愛丁堡周產期憂鬱量表。使用統計方式包括獨立樣本t檢定、單因子變異數分析、皮爾森相關係數。 研究結果發現： 1.研究對象基本屬性與懷孕經驗在決策因素量表分析並無顯著差異，僅是否育有小孩在身體負荷方面考量、多胞胎兒的生命及健康品質、家庭及社會負擔、獲得減胎相關資訊、如何增強內心自我力量在統計上具顯著差異(p< .05)。 2.研究對象基本屬性與懷孕經驗在愛丁堡周產期憂鬱量表分析，發現流產經驗及職業類別具有顯著性(p< .05)，有流產經驗總分較無流產經驗者高，職業類別以家庭主婦高於職業婦女。 3.以愛丁堡周產期憂鬱量表14分為憂鬱的分割點，26%的多胞胎孕婦有憂鬱情形。 本研究結果可協助產科護理人員了解多胞胎孕婦在面對減胎時影響其決策因素及孕期憂鬱程度，並作為提供孕婦健康照護之參考。 | zh_TW |
| dc.description.abstract | Multifetal pregnancy reduction (MFPR) is a procedure used to reduce the number of fetuses in a multiple pregnancy. When a pregnancy involves three or more fetuses (high-order pregnancy), the risks of miscarriage, stillbirth, and lifelong disability increase with each additional fetus. A result that the multiple gestation will cause the medical risk of fetus(es) and mother, fetal reductions are recommended. This research aimed to discover the relationship between decision-making process of MFPR and degree of depression in pregnancy. 112 subjects were recruited using structured questionnaires from an obstetric clinic in Taipei. The structured questionnaire includes the demographic background, Pregnancy experience, Reduction of Decision-making Scale, and Edinburgh Perinatal Depression Scale (EPDS). Statistical Analysis includes the t-test, one-way ANOVA test, and Pearson correlation.
The results suggested Decision-making Factor Scale of MFPR was not statistically significant in demographic background and pregnancy experience. However, it was significantly different (p< .05) in the subject whether raising children as body burden, wellness of fetus, household and social issues, collecting fetal reduction information, and how to enhance self-mental strength. The EPDS showed abortion experiences and occupations types statistically significant different (p< .05). The EPDS score of women with previous abortion were higher than no abortion, and unemployment were also higher than career women. Using the EPDS cutoff score of 14 and above as a score indicative of depression, 26% of subjects were classified as depressed with fetal reduction. The research results provide evidence information that influence decision-making factor of MFPR and the depression of pregnancy, and facilitate the development of appropriate health care. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T16:25:21Z (GMT). No. of bitstreams: 1 ntu-104-P02448005-1.pdf: 2966294 bytes, checksum: 88c145bd2a99844d8650f8929a4e5f66 (MD5) Previous issue date: 2015 | en |
| dc.description.tableofcontents | 口試委員會審定書....................................................i
誌謝...............................................................ii 中文摘要..........................................................iii 英文摘要...........................................................iv 第一章 緒論..........................................................1 第一節 研究動機.................................................1 第二節 研究目的.................................................5 第三節 名詞定義.................................................6 第二章 文獻探討..................................................... 7 第一節 人工生殖技術及妊娠合併症.................................7 第二節 減胎術...............................................,...7 第三節 決策的概念..............................................17 第四節 周產期憂鬱..............................................20 第三章 研究架構及假設...............................................22 第一節 研究架構................................................22 第二節 研究假設................................................23 第四章研究方法......................................................24 第一節 研究設計................................................24 第二節 研究場所................................................24 第三節 研究對象................................................24 第四節 研究工具................................................25 第五節 研究工具的信效度檢定....................................25 第六節 倫理考量................................................29 第七節 資料的收集與分析........................................29 第八節 受試者資料保護措施......................................30 第五章 研究結果.....................................................31 第一節 基本屬性之分析..........................................32 第二節 懷孕經驗之分析..........................................35 第三節 減胎決策因素量表之分析..................................37 第四節 愛丁堡周產期憂鬱量表之分析..............................46 第五節 基本屬性與減胎決策因素之變項分析........................48 第六節 懷孕經驗與減胎決策因素之變項分析........................51 第七節 基本屬性與愛丁堡周產期憂鬱量表之變項分析................63 第八節 懷孕經驗與愛丁堡周產期憂鬱量表之變項分析................65 第九節 減胎留下胎兒數與懷孕經驗之相關性........................67 第六章 討論......................................................... 68 第一節 影響多胞胎妊娠孕婦於接受減胎術之決策探討................68 第二節 多胞胎妊娠孕婦於接受減胎術留下胎兒數與懷孕經驗探討......70 第三節 多胞胎妊娠抉擇減胎術之其他相關因素......................71 第四節 多胞胎妊娠孕婦接受減胎術之憂鬱程度分析..................72 第七章 結論與建議...................................................74 第一節 結論....................................................74 第二節 臨床與研究建議..........................................76 第八章 研究限制.....................................................78 參考文獻............................................................79 中文部分.......................................................79 英文部分.......................................................82 附錄 附錄一 專家效度名單........................................... 88 附錄二 問卷內容............................................... 89 附錄三 倫理委員會審查通用之公文............................... 97 | |
| dc.language.iso | zh-TW | |
| dc.title | 臺灣多胞胎妊娠婦女於接受減胎術之決策歷程 | zh_TW |
| dc.title | Decision-Making Process of Taiwanese Women with Multifetal Pregnancies Who Receive Fetal Reduction | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 103-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 柯滄銘,賀姝霞 | |
| dc.subject.keyword | 多胞胎妊娠,減胎術,決策,憂鬱, | zh_TW |
| dc.subject.keyword | multifetal pregnancies,fetal reduction,decision-making,depression, | en |
| dc.relation.page | 98 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2015-08-14 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 分子醫學研究所 | zh_TW |
| 顯示於系所單位： | 分子醫學研究所 | |
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