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

2. 歷史回顧

3. 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）

4. 1987～1988: 赴美研習遺傳諮詢
1988～1990: 在美進修碩士學位

5. 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。

6. 在賓州大學進修博士課程期間

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

8. 文獻查證

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

10. 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

11. Methodology
Design
Sample
Instruments
Procedure

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

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

14. 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

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

16. 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)

17. Readability Education Level
Reading skills at ninth-grade level

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

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

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

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

22. Demographic Characteristics

26. Exploratory Factor Analysis

30. Second-order Principal-factor Solution

31. Generality

33. Internal Consistency

35. Discriminant Validity

37. Hung, C. H. (2005). Measuring Postpartum Stress
Hung, C. H. (2005) Measuring Postpartum Stress Journal of Advanced Nursing, (4), (SCI).

38. 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

39. 壓力源 ＆ 壓力程度 香港、中國大陸、 美國、加拿大、西班牙
61-題洪氏產後壓力量表
壓力源 ＆ 壓力程度
香港、中國大陸、
美國、加拿大、西班牙