| Abstract: | 本研究目的為描述與比較生殖科技懷孕婦女第一、二、三孕期之社會支持、親子依附與幸福安寧感，及探討生殖科技懷孕婦女之不孕經驗和治療壓力與親子依附、幸福安感寧之相關性，並探討親子依附與幸福安寧感之重要影響因素。本研究採橫斷式相關性調查研究法，研究對象為中部某不孕症研究中心之生殖科技懷孕婦女， 18 歲以上、已婚、識字，沒有顯著的內外科孕期合併症者。自 91 年 10 月至 92 年 4 月共計收取 100 名。本研究工具為結構式問卷，包括個案之基本資料、不孕經驗與治療壓力量表、產前親子依附量表、幸福安寧感量表及社會支持量表等，由個案自行填答。研究結果發現本研究個案孕期之社會支持得分為中度(51-68%)，親子依附得分亦為中度(61.3-73.2%)，而幸福安寧感得分則為高度(84.2-85.9%)。隨著懷孕週數，親子依附關係增加(F=4.97, p<0.01)，社會支持之頻率減少(F=4.43,P<0.05)，幸福安寧感與社會支持之型態則不變。不孕經驗與治療壓力之不孕特徵與親子依附(r=0.37, p=0.00)和幸福安寧感(r=0.23, p=0.02)有正向相關。親子依附之重要預測變項為不孕特徵、懷孕週數與社會支持，共可解釋 33.3%的總變異量；幸福安寧感之重要預測變項為親子依附與社會支持，共可解釋 30.5%的總變異量。本研究所得結果可應用於產前教育模式的內容，適時適地提供相關資訊，以增進生殖科技懷孕婦女孕期的社會支持、親子依附與幸福安寧感。
The purpose of this study was to determine and compare the social support, fetal attachment and well-being of pregnant women in the first, second and third trimesters, and probe the correlation between the infertility experience stress from treatment. Futhermore, the study also explored the factors that influenced the fetal attachment and well-being of pregnancy women who received assisted reproduction treatment. A cross-sectional survey was designed. The subjects were pregnant women who had received assisted reproduction treatment from an infertility treatment center in middle Taiwan. There were 100 cases finishing self-rating questionnaires. The structured questionnaires included demographic data, Stress from Infertile Experience and Treatment Scale, Maternal-Fetal Attachment Scale, Well-Being Scale and Social Support Scale. The results showed that the social support (51-68%) and fetal attachment scores (51-68%) were moderate levels, and well-being score (84.2-85.9%) was high level. With the increase of pregnancy weeks, the score on fetal attachment was gradually increased (F=4.97, p<0.01), and frequency of social support decreased (F=4.43, P<0.05), while the subjects' score of well-being and their types of social support remain unchanged. The features of infertility were positively correlated with fetal attachment (F=4.43, P<0.05) and well-being scores (r=0.23, p=0.02). The features of infertility, pregnancy weeks and social support were the significant predictor of the fetal attachment and they are predicted 33.3% of the variance. The fetal attachment and social support were the significant predictor of the well-being and they are predicted 30.5% of the variance. The results of this study can be applied to the suitable care for pregnant women to improve their conditions of social support, fetal attachment, and well-being after a successful assisted reproduction treatment. |
