妊娠期の妻への夫のサポート行動と胎児への関心 ―助産院と病院の比較調査から―.
Purpose The principle aim of the present study was to clarify differences in support behaviors by the husband toward the pregnant wife and interest in the fetus during pregnancy between maternity hospital and general hospital prenatal checkups and related factors. Methods Of 328 husbands of a puerpe...
| Publicado en: | Journal of Japan Academy of Midwifery Vol. 32; no. 2; pp. 125 - 138 |
|---|---|
| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Japan Academy of Midwifery
2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134133961&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134133961 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09176357 YYI jtl: Journal of Japan Academy of Midwifery issn: 09176357 maglogo: N pubinfo: dt: 2018 vid: 32 iid: 2 pid: 20519 pub: Japan Academy of Midwifery artinfo: ui: 134133961 134133961 134133961 10.3418/jjam.JJAM-2017-0060 134133961 ppf: 125 ppct: 13 formats: fmt: @attributes: type: P tig: atl: 妊娠期の妻への夫のサポート行動と胎児への関心 ―助産院と病院の比較調査から―. aug: au: 尾栢みど affil: 日本赤十字北海道看護大学 sug: subj: Spouses Psychosocial Factors Support, Psychosocial Family Relations Expectant Mothers Fetus Maternal Health Services Hospitals Prenatal Care Human Male Female Attitude to Pregnancy Pregnancy Descriptive Statistics Japan Questionnaires Love Childbirth Education Mann-Whitney U Test Two-Way Analysis of Variance Spearman's Rank Correlation Coefficient Adult Middle Age Walking Massage Fetus, conception to birth Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose The principle aim of the present study was to clarify differences in support behaviors by the husband toward the pregnant wife and interest in the fetus during pregnancy between maternity hospital and general hospital prenatal checkups and related factors. Methods Of 328 husbands of a puerperants (full-term/vaginal childbirth [excluding twins], within one week after child- birth), the subjects comprised 137 husbands who responded (response rate: 42.4%). The subjects comprised 70 per- sons in five maternity hospitals and 67 persons in one maternity ward of a general hospital in the Kanto region. An anonymous self-administered questionnaire was distributed from July to October 2014; the contents of the ques- tionnaire concerned the support behaviors by the husband toward the wife and interest in the fetus during pregnancy, loving relationship between the husband and wife, and desire of wife for husband to accompany her to prenatal checkups/childbirth education classes. For examination of differences, Mann-Whitney's U test, two-way analysis of variance, etc. was used, and Spearman's rank correlation coefficient was used for correlation analysis (significance level was set at 5% for all tests). Results The age of the subjects was 26-52 years old, (mean age: 36.2±5.3 years). Comparison of maternity hospital / general hospital prenatal checkups revealed that the birth of the second or younger child was the most common in the maternity hospital prenatal checkups and the first child was the most common in the general hospital prenatal check- ups (p<.01). Therefore, we conducted a two-way analysis of variance using two factors, (i.e., maternity hospital / general hospital prenatal checkup and first child/ second or younger child), and it was shown that being the first child affected interest in the fetus (main effect: p<.001). By contrast, regarding support behaviors toward the wife, in the case of a general hospital prenatal checkup, subjects had a high possibility of carrying shopping bags and accompanying walking and massaging the wife and tended to be affected by being the first child. Thus, the results were divided by question item. Among factors related to support behaviors by the husband toward the wife and interest in the fetus, as the score for loving relationship between husband and wife increased, support behaviors toward the wife (ρ=.197-291, p<.05) and interest in the fetus (ρ=.276-.313, p<.01) also increased. Conclusion Interest in the fetus was influenced by being the father of a first child without a difference between maternity hospital and the hospital prenatal checkups. However, the results regarding support behaviors toward the wife were divided according to the question item. Furthermore, factors related to support behaviors toward the wife and interest in the fetus included a loving relationship between husband and wife. 目 的 妊娠期の妻への夫のサポート行動及び胎児への関心において，助産院・病院健診での違い及びその関 連要因を明らかにする。 対象と方法 対象者は，正期産・経膣分娩（双胎を除く），出産後1週間以内の褥婦の夫328名で回収数は137名（回 収率42.4%）であった。内訳は関東地方の助産院5ヶ所70名，総合病院の産科病棟1ヶ所67名であった。 平成26年7～10月に無記名自記式質問紙調査を実施し，調査内容は妊娠期の妻への夫のサポート行動及 び胎児への関心，夫婦間の愛情関係，妊婦健診・両親学級への同行に対する妻の希望などとした。差の 検定はMann-WhitneyのU検定，二元配置分散分析などを，相関分析にはスピアマンの順位相関を用い， いずれも有意水準は5%とした。 結 果 対象者の年齢は26～52歳，平均36.2±5.3歳であった。助産院・病院健診の比較では，助産院健診に 第2子以降が，病院健診に第1子が多かった（p<.01）。そのため，助産院・病院健診と第1子・第2子以 降の2要因による二元配置分散分析を実施し，胎児への関心には第1子であることが影響していた（主 効果，p<.001）。一方，妻へのサポート行動は，買い物の荷物を持つことは病院健診の場合に，散歩の 付き添いや妻へのマッサージは第1子であることが影響しており，質問項目により結果が分かれた。 妊娠期の妻への夫のサポート行動および胎児への関心の関連要因では，夫婦間の愛情関係得点が高いほ ど夫は妻へのサポート（ρ=.197～291，p<.05）をし，胎児への関心（ρ=.276～.313，p<.01）を示していた。 結 論 胎児への関心は，助産院と病院健診の違いではなく第1子の父親であることが影響していた。一方， 妻へのサポート行動は質問項目により結果が分かれた。また，妻へのサポート行動や胎児への関心の関 連要因は夫婦間の愛情関係などであった。 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Japanese refInfo: holdings: @attributes: islocal: N |
|---|