| Summary: | 碩士 === 國立臺北護理健康大學 === 護理助產研究所 === 104 === Purpose:
To evaluate the effect of a diary writing program in reducing anxiety, depression and prematurity for hospitalized pregnant women receiving tocolytic treatments.
Methods:
Experimental research design was adopted. The research was conducted at a delivery unit and obstetrics ward of a medical center in Central Taiwan. Eligible criteria were 45 hospitalized pregnant women at 26 weeks to 34 weeks of gestation, admitted for tocolytic treatments. These women were randomly assigned to the experimental group (n = 25) and the control group (n = 20). The experimental group women had explained to them, by nurses, routine care instruction for tocolytic hospitalization and the diary writing program; the control group women were only given routine care instruction for tocolytic hospitalization, by nurses. At the delivery unit, women matching the eligiblity criteria were enrolled and asked to complete State-Trait Anxiety Inventory (STAI) and Edinburgh Perinatal Depression Scale questionnaires. Upon one week of admission, women were again asked to answer STAI (State-Trait Anxiety Inventory) and Edinburgh Perinatal Depression Scale questionnaires. One week after that, they had to fill out these two assessment scales again. Data were analyzed with descriptive statistics independent t-test and Chi-Square test for inferential statistics analysis, in order to evaluate multiple varieties of anxiety, depression, gestational age and body weight at different times.
Results / Conclusion:
No statistical difference was found in trait anxiety (t = 0 .49, p = .62) between two groups upon recruitment; so was in state anxiety (t = 0.62, p = .53). There were obvious differences in state anxiety between two groups seven days ( t = -3.15, p < 0.001) and 14 days ( t = -2.36, p < .02) after admission. For depression, both groups have no statistical difference in the beginning ( t = -0.08, p = .93). There were significant differences ( t = -2.23, p = .03) seven days after hospitalization, but no difference ( t = -1.52, p = .13) 14 days after hospitalization. Both groups had no differences in gestational ages ( t = 0.91, p > 0.5) and birth weights ( t = 1.26, p > .05). In conclusion, the diary writing program can reduce the anxiety and depression levels of hospitalized threatened preterm labor women. Meanwhile, this program can offer medical staff an empathetic and benevolent way to take care of these women. Therefore, this program deserves to be promoted and embraced.
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