Stress, Social Support, and Depression of the Pregnant Women During Their Third Trimester

• Main Authors: Hsu, Chen Mei, 徐禎美
• Other Authors: Chung-Hey Chen
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/tvxtk4

碩士 === 高雄醫學大學 === 護理學研究所 === 91 === This study was conducted to investigate the depression of pregnant women during their third trimester and its relationship with pregnancy stress, life-event stress and social support, and to explore the significant predictors. A total of 150 pregnant women who were in the third trimester were recruited to participate in this study from obstetric clinics of one regional and one local hospitals in southern Taiwan. Three instruments were used to collect data：the Basic Characteristics Inventory, the Edinburgh Perinatal Depression Scale, the Pregnancy Stress Rating Scale, the Adult Life-Event Stress Scale, and Maternity Social Support Scale. The data were analyzed by factor analysis, Chi-square test, t test, pearson correlation and logistic regression analysis. The results found that 1. Using the EPDS cutoff score of 10 and above as a score indicative of depression, 48.7% of subjects were identified as depressed; using the EPDS cutoff score of 15 and above as a score indicative of severe depression, 20% of subjects were classified as severely depressed during the third trimester. 2.Factor analysis of the Pregnancy Stress Rating Scale scores defined three factors：（1）Stress from seeking safe passage for herself and her child through pregnancy, labor and delivery,（2）Stress from identifying maternal role, and（3）Stress from altered body structure and body function. 3. The frequency distribution of previous abortion was higher in depressed group, and the frequency distribution of unemployment and unplanned pregnancy were higher in severely depressed group than their comparisons. 4. Both the depressed group and severely depressed group, the pregnancy stress and life-event stress were higher, and the social support was lower than their comparisons. 5.The best subsets to predict the depression of pregnant women included the pregnancy stress and social support. The best subsets to predict the severe depression of pregnant women included the occupational status, pregnancy stress and social support.The results of the study provide evidenced informations for obstetric nurses to understand the effects of the stress and social support on the depression of pregnancy and thus facilitate the development of appropriate nursing services.