| Summary: | 碩士 === 國立台北護理學院 === 護理助產研究所 === 96 === The purpose of this research was to effectiveness of the educational pamphlet and telephone health consultation follow-up everyday from nursing staff during four weeks on uncertainty, stress and coping strategies in high-risk pregnancy women during the second trimester. This was a experimental design, structured questionnaires were utilized to collect the data：(1)The Uncertainty Stress Scale-High Risk Pregnancy Version; (2)Ways of Coping; and (3) Inventory of Social Supportive Behavior（ISSB）. Totally 84 subjects of purposive samples were collected from inpatients and outpatients in a medical center in Taipei, Taiwan；82 subjects completed the questionnaire. The participants were randomly assigned to experiment group (n = 41) and control group (n = 41). After pre-test, the experiment group were received the educational pamphlet and telephone health consultation follow-up everyday from nursing staffs during four weeks but the control group participants received only routine nursing care. Two groups were post-test by using questionnaires after four weeks.
The data were analyzed with SPSS for Windows 15.0 statistical software. Data were analyzed by frequency distribution, percentage, mean, standard deviation, chi-square test, independent t-test, paired t-test, general linear model and Pearson’s correlation. Results showed that：（1）nursing intervention programs can reduce uncertainty in high-risk pregnancy women (<.001) .（2）nursing intervention programs can reduce stress in high-risk pregnancy women（<.001）.（3）nursing intervention programs can’t significantly affect coping strategies; but doctors and nurses’ social support increasing indicates coping strategies increasing .34 score.（4）uncertainty was positively correlated with stress；uncertainty and stress were negatively correlated with coping strategies.
The results of this study that using the educational pamphlet and telephone health consultation follow-up everyday from nursing staff during four weeks can significant reduce uncertainty and stress in high-risk pregnancy women during the second trimester, and it can also provide references to antepartum health care programs. Moreover, it can help nurses to understand high-risk pregnancy women have uncertainty and stress. To expect nursing staffs can reinforce the role of being educator and supportor.
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