產後壓力的測量 Measuring Postpartum Stress 洪志秀, RN, PhD 護理學系副教授

歷史回顧

1986～1987: 高醫研究經費 金繼春副院長、張素凰教授 產後憂鬱 vs 產後壓力 護理的本質 （角色＆功能）

1987～1988: 赴美研習遺傳諮詢 1988～1990: 在美進修碩士學位

洪志秀、張素凰、金繼春（1993）。 產褥期婦女之壓力與其相關因素。 公共衛生，20（1），29-45。

在賓州大學進修博士課程期間

洪志秀（2001）。 「產後壓力」概念之分析 ‧ 護理雜誌，48（6），69-76。

文獻查證

The Application of General Stress Scales to Postpartum Stress Postpartum Period Birth Time

Hung Postpartum Stress Scale The Content Domain of Hung's Postpartum Stress Scale versus General Stress Scales Hung Postpartum Stress Scale General Stress Scale General Stress Postpartum Period Birth Time

Methodology Design Sample Instruments Procedure

Design A non-experimental quantitative research design Subjects during the six weeks following childbirth were sampled

Sample Proportional stratified quota sampling 861 women (1:10 ratio of items to subjects)

Criteria for Inclusion in the Sample Had a single, healthy, and full-term baby without complications Had no major postnatal complications or underlying medical problems Were married Taiwanese residents Could speak Mandarin Chinese

Instruments The Hung Postpartum Stress Scale (Hung PSS) The Beck Depression Inventory-2nd version (BDI-II) A demographic questionnaire

The Hung Postpartum Stress Scale 2001: 85 items content validity: 92.8%, 97.1%, 92.9% A 5-point Likert scale: from 1 (not at all) to 5 (always)

Readability Education Level Reading skills at ninth-grade level

The Beck Depression Inventory-Second Version Discriminant validity 21 items A 4-point scale

Procedure IRB consent forms demographic questionnaire gift a packet of the Hung PSS & the BDI-II randomly assigned a telephone interview

Data Analysis Exploratory common factor analysis Second-order principal-factor analysis

Results Demographic characteristics of the subjects Exploratory factor analysis Second-order principal-factor solution Generality & Internal consistency Discriminant Validity

Demographic Characteristics

Exploratory Factor Analysis

Second-order Principal-factor Solution

Generality

Internal Consistency

Discriminant Validity

Hung, C. H. (2005). Measuring Postpartum Stress Hung, C. H. (2005). Measuring Postpartum Stress. Journal of Advanced Nursing, 50(4),417-424. (SCI).

新聞稿 Telegraph News Thousands of new mothers 'cannot cope with a baby'.htm Thousands of new mothers 'cannot cope with a baby‘ Large-scale study identifies key stress factors facing new mums

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