| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 92 === The purpose of this study was to investigate the pregnant and postpartum women’s depression and its related factors that included prenatal depression, social support, living stress, and the satisfaction of doing the month. A longitudinal design was adopted. Data were collected from 84 pregnant and postpartum women at 4 different time points, i.e.1 month before delivering, 1 week, 1 month, and 2 and a half months after delivering. Pearson''''''''s correlation, multiple regression and Generalized Estimating Equation (GEE) were utilized to analyze the data.
The major results of this study were listed as followings: (1) The degree of pregnant and postpartum women’s depression was mild. The peak of depression was at one week after delivering. But there was no significant different depression among the four time points. (2) The score of Beck Depression Index (BDI) which is equal or greater than 10 points was defined as depressed, while the BDI score less than 10 points was categorized as non-depressed. In the current study, 24.56% (n=14) of the subjects who answered the questionnaires at 2 and a half months after delivering (n=57) reached the depressed level. The related factors included husband’s education and family support. (3) Most of the participants were satisfied with their social support and the major support was form their husbands. (4)“Feeling some living stress” was the major response by the participants at all the time points. The body shape changes after delivering was the most concerned living stress event at all the time points. “Never ended jobs” was also identified as the leading cause of living stress at all the time points. (5) Most of the participants stayed with their husbands’ family during the period of doing the month. Most of them reported their doing the month “some satisfied”. Moreover, the relationship between the satisfaction of doing the month and the depression at 1 month after the delivering was significant. (6) The relationships between depression and social support, depression and living stress, social support and living stress were all significant. (7). The significant predictors of prenatal depression were living stress and husband’s education. These two predictors explained 46.8% of variance (F=35.575,p<.001). (8). The significant predictors of the depression at 1 week after delivering were living stress, husband’s education, social support and prenatal depression. These four predictors explained 51.1% of variance (F=16.201,p<.001). (9). The significant predictors of the depression at 1 month after delivering were social support, prenatal depression and never ended jobs. These three predictors explained 55.5% of variance (F=23.258,p<.001). (10). The significant predictors of the depression at 2 and a half months after delivering were prenatal depression and social support .These two predictors explained 55.1% of variance (F=23.953,p<.001).(11). Among the prior variables at pregnant, and 1 week, 1 month after delivering, the significant predictors of the depression at 2 and a half months was the depression at pregnant, 1 week and at 1 month after delivering. These predictors explained 55.1% (F=23.953,p<.001), 33.8% (F=19.901,p<.001) and of 69.8% variance(F=94.758,p<.001), respectively. Based on the outcomes of this study, some suggestions were provided for the advanced clinical practice and the further studies.
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