本研究係探討初產婦於（一）待產各階段產痛的情形，包括產痛的部位、
性質及程度（二）待產時藉由護理措施之介入，包括告知生產過程、教導
呼吸鬆弛法及執行按摩法以探討減輕產痛之效果。本研究自 84年1月至
84年8月於某醫學院附設醫院產房待產之初產婦共計 27位。研究者於待產
婦待產過程中參與照顧並且在產後 8至24小時內以半結構式問卷訪談及利
用McGill疼痛問卷表收集相關資料，研究結果為 :（一）待產婦之產痛部
位描述，最常見之產痛部位為肚臍以下之腹部佔81.48%，待產初期、中期
有44.44%之待產婦合併有背部之疼痛；待產之末期有51.85%合併有背部之
疼痛。（二）待產婦之知覺性產痛描述於待產之初期、中期以疼痛為最多
，末期則以劇痛居多；待產婦之情感性產痛描述於待產之末期才出現，以
可怕的經驗為最多。（三）待產婦之產痛依產程之進展而由輕度的產痛轉
為中度、重度的產痛。（四）待產時護理措施之介入法包括呼吸鬆弛法、
按摩法顯示均可減輕產痛；其中以待產之中期效果最好，呼吸鬆弛法100%
有效，按摩法88.88%有效；待產之初期次之，呼吸鬆弛法96.30%有效，按
摩法66.66%有效；待產末期之效果較差，呼吸鬆弛法40.70%有效，按摩
法11.11%有效。本研究結果顯示待產婦之產痛及對待產時所介入的護理措
施之效果，有其個別性、差異性，對於不同之待產階段有其不同之護理需
求；於待產之初期、中期使用呼吸鬆弛法及按摩法可減輕產痛，待產末期
則著重於精神上的鼓勵、支持並接納待產婦之行為反應及協助待產婦維持
控制呼吸，使待產婦能自我控制及維持自尊。
Objective:The purpose of this study aimed to analyse the
location, characteristics and grade of primigravida labor
pain in different stage of labor. Material and Methods:
1.Sample:Twenty-seven full-termed labored primigravida in Chung-
Shan Medical and Dental College Hospital were evaluated
from Jan. 1995 through Aug. 1995. 2.Nursing interventions :
teaching process information, performing respiratory
relaxation and massage. 3.Measurement: A semi-structured
Questionnaire adopted from the McGill pain Questionnaire
was used to measure labor pain. Results : 1.The most common
location of labor pain was on lower abdomen just below the
umbilicus (81.48%) , backache was the second (44.44%) in the
early and middle stages of abor and 51.85% in the late
stage of labor. 2.Sensory labor pain was described most oftenly
as aching pain in the early or middle stages of labor,
and as throbbing pain in the late stage of labor.
Affective labor pain was described as fearness only in the
late stage of labor. 3.The grades of labor pain of
parturients ranked from mild, moderate to severe were well
incorporated during the progress of the labor. 4.Respiratory
relaxation(RR) and massage(M) interventions have demonstrated
effectiveness . The most appropriate timing for intervention
was in the middle stage of labor (RR effective rate:100%, M
effective rate : 88.88%). The intervention in early stage
also showed satisfactory effectiveness (RR:96.30%, M:66.66%).
However, intervention in late stage of labor did not have
significant benefit. Conclusion : There was an individualized
difference in parturients'' description of labor pain.
Respiratory relaxation and massage do relieve labor pain in
early and middle stages of labor.
