Coping strategies and relative factors in primiparous women during the first stage of labour

• Main Authors: Yin-Ru Chen, 陳映如
• Other Authors: Tsann-Juu Su
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/08400442127126254201

碩士 === 國立臺灣大學 === 護理學研究所 === 97 === Pregnancy is a family event; it is also an enormous challenge for prospective parents. At present, it is observed that part of the prenatal education courses can be provided in the classroom to wait for relevant coping strategies, but in clinical practice has failed to be used actively; mothers usually endure the pain silently. The purpose of this study is aimed to analyze the coping strategies and relative factors in primiparous women in the first stage of labor. Retrospective survey and purposive sampling were used for this study. Following Ethics Committee approval and providing informed consent, 53 nulliparous women completed a questionnaire at 72 hours of the birth of their first child at a medical center in North Taiwan were subjects for the study. SPSS 12.0 software for Windows was used to analysis the data. The research results indicate that nulliparous women’s knowledge of the use of copying strategies is in a middle level. The average score for this knowledge was 3.59 (total=5). Knowledge and age are negatively inter-correlated. The average score for women’s attitude was 3.17(total=5). It was positive. Attitude and birth companion’s involvement in the use of copying strategies are positively inter-correlated. The most used continuous strategy throughout the first stage of labor was the breathing strategy, and for discontinuous strategy, postural change showed to be more used. The highest proportion of reasons for stopping use of postural change was no longer working. The degree of using of coping strategies and duration first stage of labor are positively inter-correlated. The correlation analysis showed that continuous using of massage was significantly related to duration first stage of labor and nurse’s involvement in the use of coping strategies; stopping relaxation was significantly related to birth companion’s involvement in the use of coping strategies. Based on the results of this study, it is recommended to obstetric nurses: first ensure that the women have learned the knowledge and skills, second fit the current situation of the women to coping strategy, and third consider the importance and function of birth companion. In addition, aromatherapy and the use of music also could be useful. Aromatherapy and music is provided by the usage of reference for women at antenatal classes.