本研究目的係探討第三孕期婦女的壓力、社會支持與憂鬱的相關性,並探討孕期憂鬱之重要預測因子。以立意取樣方式在南部一所區域醫院與一所地區醫院門診,進行第三孕期孕婦問卷調查,共收取150位個案。以結構式問卷作資料收集,問卷內容包括:「個人基本屬性調查表」、「孕期心理壓力量表」、「成人生活事件壓力量表」、「孕婦社會支持量表」、「愛丁堡周產期憂鬱量表」。研究發現:(1)以愛丁堡周產期憂鬱量表14分為憂鬱的分割點,20.0%的孕婦有憂鬱情形;(2)孕婦孕期心理壓力、社會支持及有無職業是孕期憂鬱的顯著預測因子。本研究建議:(1)應將孕期心理壓力、社會支持及孕婦有無職業等因素,列為產前護理評估要點;(2)應重視孕期憂鬱的盛行率,將孕期憂鬱的資訊包括在產前教育課程中,例如告知孕婦如果心情低落持續七天以上,或干擾日常生活處理能力,應主動向醫護人員諮詢並尋求協助。
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 hospital in southern Taiwan. Data were collected via questionnaires, which comprised the following five parts: the Basic Characteristics Inventory, the Edinburgh Perinatal Depression Scale (EPDS), the Pregnancy Stress Rating Scale, the Adult Life-Event Stress Scale, and Maternity Social Support Scale. The results found that (1) using the EPDS cutoff score of 14 and above as a score indicative of depression, 20% of subjects were classified as depressed during the third trimester; (2) The best subsets for predicting the depression of pregnant women were the pregnancy stress, social support and occupational status. The results of the study suggest that (1) pregnancy stress, social support and occupational status should be assessed during the antenatal period; (2) Importance should be attached to the prevalence of antenatal depression and information about antenatal depression included in classes on childbirth education. Antenatal women should be informed, for example, that, if the depression persists for longer than 7 days, or interferes with their ability to cope with the activities of daily living, psychiatric consultation may be needed.