本研究係探討生殖科技治療受孕婦女第一孕期之心理壓力與其相關因素。自87年11越至88年6月於中部某不孕症研究中心，接受生殖科技治療後受孕的孕婦與該院自然受孕的孕婦為研究樣本，於孕婦妊娠10-12週進行結構式之問卷調查。結果顯示生殖科技治療組孕婦之心理壓力來源依序為確保母子健康及安全 ( 因素Ⅰ) 、身體外形與活動改變 ( 因素Ⅲ ) 及認同母親角色 ( 因素Ⅱ ) 三方面。生殖科技治療組孕婦之心理壓力顯示因素Ⅱ認同母親角色而引發之壓力感低於自然懷孕組，且具有統計上之顯著差異。以相關矩陣分析，生殖科技治療組孕婦孕期心理壓力之因素Ⅰ與因素Ⅱ、因素Ⅲ、負向情感症狀、不孕經驗與治療引發的壓力感相關，因素三與年齡相關。以複迴歸統計法分析，生殖科技治療組織孕婦在因素Ⅰ之預測變項為負向情感症狀、不孕時間，因素Ⅱ之預測變項為不孕經驗與治療引發的壓力、憂鬱，因素Ⅲ之預測變項為傳統生育概念。本研究結果有助於醫護人員了解接受生殖科技治療受孕婦女第一孕期心理壓力反應及其重要影響因子，期能在產前檢查時注意孕婦特質，適時給予個別性護理與適當的衛教。
The purpose of this study was to identify the psychological stress and contributing stressors for women who succeed in pregnancy after assisted reproductive techniques (ARTS). From November 1998 to June 1999, data were obtained by administering a questionnaire to ARTS group and Control group at gestational age of 10-12 weeks at a reproductive center in middle Taiwan. The result showed the women receiving ARTS were more likely to be concerned about the health and safety of mother and child (factor 1), change in physical figure and activities (factor 3) and identification with maternal role (factor 2). Compared to the control group, the ARTS group had a significantly lower psychological stress response to factor 2. Analysis of bivariate correlation showed the following for ARTS group: (1) Psychological stress response to factor 1 was associated with factor 2, factor 3, negative affection, depression, the experience of being infertile and treatment stress; (2) psychological stress response to factor 2 was associated with factor 3, negative affection, the experience of being infertile, and treatment stress; and (3) psychological stress response to factor 3 was associated with age. Multiple regression indicated that negative affection and duration of infertility predictors for factor 1 in ARTS group. Stress resulting from being infertile, treatment and depression were predictors for factor 2 in ARTS group. Chinese traditional childbearing attitudes were predictors for factor 3 in ARTS group. The results of this study can be used by nursing staff to understand the sources psychological stress and contributing stressors during the first trimester for previously women who successfully been impregnated through assisted reproductive techniques.
