Uncertainty, Stress and Coping in Women with High Risk Pregnancy during Third Trimester

• Main Authors: Chen, Shu-Lan, 陳淑蘭
• Other Authors: Chen Chung-Hey
• Format: Others
• Language: zh-TW
• Published: 1998
• Online Access: http://ndltd.ncl.edu.tw/handle/59748945001983171779

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.