| Summary: | 碩士 === 高雄醫學院 === 護理學研究所 === 86 === The purpose of this research was to investigate the
uncertainty, stress, and coping in women with high risk
pregnancy during third trimester, and to explore the
relationship among these factors and the predictors of coping.
Totally 110 subjects of purposive samples were collected from
two medical centers and four regional hospitals in Kaohsiung
city, Taiwan. Three instruments were utilized to collect the
data: (1)the Basic Characteristic Inventory; (2)the Uncertainty
- Stress Scale; (3)the Ways of Coping Checklist. The data were
analyzed using the Cronbach''s alpha, item analysis, factor
analysis, chi-square, t-test, ANCONA, Pearson''s correlation, and
Hierarchical multiple regrssion analysis. In this study, the
main results were as follows: (1)factors analysis of the
uncertainty scores of the Uncertainty-Stress Scale defined two
categories, which were labeled Indefiniteness as well as Being
unsettled and having doubts about coping; (2)the stress scores
of the Uncertainty-Stress Scale were defined by factor analysis
as: Stress caused by indefiniteness, and Stress caused by being
unsettled and having doubts about coping; (3)using factor
analysis, the Ways of Coping Checklist were defined as: Plan and
hoping, Seeking social resources, Emotional suppression, and
Cognitive suppression; (4)the indefiniteness of the hospitalized
high risk pregnant women were significantly higher than those of
the out-patient high risk pregnant women; (5)the stress of the
hospitalized high risk pregnant women were remarkably higher
than those of the out-patient high risk pregnant women; (6)the
cognitive suppression of the out-patient high risk pregnant
women were significantly higher than those of the hospitalized
high risk pregnant women; (7)uncertainty was positively
correlated with stress; uncertainty and stress were negatively
correlated with plan and hoping, and cognitive suppression;
(8)the occupational status, and being unsettled and having
doubts about coping, or Stress caused by being unsettled and
having doubts about coping were significant predictors of the
Plan and hoping; (9)the educational level was an significant
predictor of the Seeking social resources; (10)the
indefiniteness was an significant predictor of the Cognitive
suppression. The results of this study can help the nurses not
only to understand uncertainty, stress, and coping of the high
risk pregnant women both in hospitalized and out-patient
departments, but also to reinforce the role of being educator
and supportor. Moreover, it can provide references to Antepartum
Home Care Program for the high risk pregnant women, and supply
useful information for enhancing obstetric nursing teaching and
future research.
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