Comparing maternal confidence and social supports between younger and elder primiparas in the early postpartum period
| Autor: | Chih-Juan Chen, 陳志娟 |
|---|---|
| Rok vydání: | 2010 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 98 Currently, the childbearing age of women in Taiwan is about 34-35 years old which comprises 5% of elder primiparas aged over 35. Elder primiparas are more likely to develop complications and have a higher rate of caesarean section than other women; thus, their care needs also differ. This study aimed at studying differences in younger and elder primiparas’ maternal confidence and social support and the age-specific maternity care needs in order to improve quality care for women in the perinatal period. This study adopts the questionnaire survey method. Through purposive sampling, 56 study objects in the younger primipara group and 42 in the elder primipara group were collected. The research tools used include the basic information of primiparas, maternal confidence scales (Chinese version), and social support scales. The data was collected in two sessions including: (1) data of 3-5 days postpartum in the postnatal ward; and (2) data of 14 days postpartum in a location for postnatal care confinement. The SPSS15.0 software package was used for the data analysis in which the basic information, maternal confidence, and social support distribution were described through descriptive statistics. Then, the comparison between the younger and elder group was conducted through the Mamm-Whitney Test and the relevant influential factors were established through the Generalized Estimation Equation (GEE) statistical method. The younger group’s average age is 28.02±1.40 and the elder group 36.57±1.7. There is no age-specific significant difference in terms of maternal confidence in the early postpartum period; however, maternal confidence shows an upward trend of increase following an increase in number of days postpartum although the change has not reached statistical difference. Social support is divided into three aspects including: “extent of need,” “assistance,” and “degree of adequacy.” In terms of “social support (extent of need),” there is no age-specific difference in the early postpartum period and there is little change following an increase in number of days postpartum. “Social support (assistance)” on the other hand shows age-specific differences in the early postpartum period. The elder primipara group received less “assistance” as compared to that of the elder primipara group; however, both groups sensed more “assistance” received following an increase in number of days postpartum although the difference in amount of assistance received has not reached significant difference. In terms of “social support (degree of adequacy)” there is age-specific difference in the early postpartum period, but the subjective perception of “degree of adequacy” between the two groups shows little change. After adjusting the effects of time and age groups, the GEE was adopted to analyze the correlation between maternal confidence and social support. The elder primiparas’ maternal confidence and social support in terms of “extent of need” show a negative correlation (-0.228 p=0.002) and the younger primiparas’ maternal confidence and social support in terms of “degree of assistance” also show a negative correlation (-0.168 p=0.049). After adjusting the age and time variables, the influential factors of maternal confidence analyzed through the GEE include: Total family income and social support “extent of need”; the influential factors of social support “extent of need” include: education level and prenatal education courses; and the influential factor of social support “degree of adequacy” includes feeding method during the period of confinement care. Based on the research results, it is suggested that the maternal confidence and social support of postpartum women of different attributes be probed into in order to render appropriate care and enhance service quality for primiparas in the early postpartum period. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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