https://scholars.lib.ntu.edu.tw/handle/123456789/159934
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 黃璉華 | zh-TW |
dc.contributor | Huang, Lian-Hua | en |
dc.contributor | 臺灣大學:分子醫學研究所 | zh-TW |
dc.contributor.author | 林稚琇 | zh-TW |
dc.contributor.author | Lin, Chih-Hsiu | en |
dc.creator | 林稚琇 | zh-TW |
dc.creator | Lin, Chih-Hsiu | en |
dc.date | 2008 | en |
dc.date.accessioned | 2010-05-04T06:51:10Z | - |
dc.date.accessioned | 2018-07-09T01:10:29Z | - |
dc.date.available | 2010-05-04T06:51:10Z | - |
dc.date.available | 2018-07-09T01:10:29Z | - |
dc.date.issued | 2008 | - |
dc.identifier.other | U0001-0807200815170900 | en |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/178644 | - |
dc.description.abstract | 羊膜穿刺是目前產前診斷中最常被拿來確認胎兒健康狀態的檢查。近年來生育率下降,孕婦希望以最佳產檢方式確認下一代的健康狀態是可以預期的。羊膜穿刺已不復是高齡孕婦才會做的檢查,非高齡孕婦(<34歲)不論母血篩檢異常與否,施行羊膜穿刺檢查人數也大幅上升,瞭解非高齡孕婦接受羊膜穿刺的動機及其相關因素是必須的。由於孕婦對於羊膜穿刺檢查認知不足,會導致不必要的焦慮與害怕,造成不佳的孕程經驗。提供遺傳諮詢可使孕婦對於羊膜穿刺檢查有正確的認知,減少不必要的焦慮。 本研究目的為瞭解孕婦接受施行羊膜穿刺檢查的動機,與給予遺傳諮詢後之成效。本研究於某婦產科診所進行,研究對象為準備接受羊膜穿刺檢查的孕婦150位,其中高齡孕婦73位,非高齡孕婦77位,收集之資料包括孕婦之基本資料、影響因素、動機因素、對羊膜穿刺的認知,與給予羊膜穿刺術相關之遺傳諮詢後,再填寫遺傳諮詢之成效評估相關資料。 研究結果顯示:比較孕婦接受羊膜穿刺的動機,發現高齡孕婦接受羊膜穿刺依序為高齡、害怕生出缺陷兒、醫師建議、配偶支持,而非高齡孕婦則為害怕生出缺陷兒、配偶支持、醫師建議、自己想做、母血篩檢陽性。孕婦對羊膜穿刺檢查的知識顯示,遺傳諮詢對羊膜穿刺檢查的認知,有大幅的提升,對高齡組孕婦的幫助更為顯著。接受遺傳諮詢後成效顯示,孕婦認為遺傳諮詢有存在的必要性,可以有效的幫助解決疑惑與減輕焦慮的情形,且遺傳諮詢在高齡孕婦的成效優於非高齡孕婦。 | zh-TW |
dc.description.abstract | At present, amniocentesis is the most commonly used method of prenatal diagnosis to confirm the health status of fetus. The birth rate has decreased dramatically in recent years, it’s predictable for pregnant women to confirm the health status of fetus by using the most reliable way. Amniocentesis is no longer restricted to the advanced maternal aged (AMA) women, but also for those non-advanced maternal aged (non-AMA) (<34 years old) women who have maternal serum α-fetoprotein screening positive result or not. Non-AMA women have made the numbers of amniocentesis increased. It’s necessary to find out the motives and relevant factors of non-AMA women who accept the amniocentesis. Due to knowledge deficit, anxieties and fears would lead to stressful pregnant experiences. The genetic counseling can provide correct knowledge of amniocentesis, and to lower the anxieties accordingly. This study was aimed to understand the factors affecting women’s acceptance of amniocentesis and the effectiveness of the genetic counseling. Data were collected at a private obstetric clinic. Study subjects were 150 women arranged to undergo amniocentesis, including 73 AMA women and 77 non-AMA women. Information on women’s basic data, influence factors, motive factors, and knowledge of amniocentesis was collected. After genetic counseling, the effectiveness of the genetic counseling was assessed. The finding of the study was that comparing the motive factors about women’s accepting amniocentesis, AMA women in order were advanced age, fear to have a defect baby, physician’s suggestion, spouse support, whereas, for non-AMA woman, in order were fear to have a defect baby, spouse support, physician’s suggestion, self’s decision, positive result of maternal serum α-fetoprotein screening. The knowledge of amniocentesis showed that the non-AMA women were better than the AMA women. After genetic counseling, all of AMA and non-AMA women got full marks. It showed the genetic counseling had positive effect in raising the cognition abort amniocentesis, and the help was more apparent to AMA women. The effectiveness of the genetic counseling showed genetic counseling was necessary to help solving uncertainty and lowering the anxieties accordingly, and it was better in AMA women than non-AMA women. | en |
dc.description.tableofcontents | 研究計畫摘要………………………………………………………Ⅰ文摘要……………………………………………………………Ⅱ錄…………………………………………………………………Ⅳ表目錄……………………………………………………………Ⅵ一章 緒論……………………………………………………1 第一節 研究背景………………………………………………1 第二節 研究動機………………………………………………2 第三節 研究目的………………………………………………3二章 文獻探討………………………………………………4 第一節 羊膜穿刺術……………………………………………4 第二節 影響羊膜穿刺術之因素與態度、認知之探討………6 第三節 產前診斷的遺傳諮詢概況……………………………7三章 研究概念架構與研究假設……………………………10 第一節 研究架構………………………………………………10 第二節 研究假設………………………………………………11 第三節 名詞界定………………………………………………11四章 研究方法………………………………………………12 第一節 研究對象………………………………………………12 第二節 研究工具………………………………………………12 第三節 資料收集過程…………………………………………17 第四節 研究倫理………………………………………………18 第五節 研究資料分析…………………………………………18五章 研究結果………………………………………………19 第一節 孕婦基本屬性資料……………………………………19 第二節 孕婦選擇接受施行羊膜穿刺影響因素描述與 差異性分析……………………………………………24 第三節 孕婦接受羊膜穿刺術動機因素描述與差異性分析…27 第四節 孕婦接受遺傳諮詢前後羊膜穿刺知識量表 得分情形與差異性分析………………………………29 第五節 孕婦接受遺傳諮詢後之成效情形與差異性分析……31六章 討論……………………………………………………37 第一節 影響孕婦接受羊膜穿刺動機之因素分析……………37 第二節 孕婦接受羊膜穿刺之動機因素分析…………………38 第三節 孕婦於遺傳諮詢前後羊膜穿刺知識量表得分之分析38 第四節 孕婦於遺傳諮詢後之成效分析………………………39七章 結論……………………………………………………40八章 建議……………………………………………………42九章 研究限制………………………………………………42考文獻……………………………………………………………43 中文部份………………………………………………………43 英文部份………………………………………………………46錄一:專家效度名單……………………………………………48錄二:研究問卷…………………………………………………49錄三:研究倫理委員會審查通過之公文………………………55表目錄3-1研究概念架構………………………………………………104-2-1 各量表內容效度CVI……………………………………164-2-2 各量表之信度……………………………………………165-1-1孕婦基本屬性之比較 ……………………………………225-2-1 影響孕婦接受羊膜穿刺動機因素之比較………………265-3-1 接收羊膜穿刺的動機因素之比較………………………285-4-1孕婦接受遺傳諮詢前後羊膜穿刺知識量表平均得分之比較305-5-1知道遺傳諮詢人員存在的配置與否………………………345-5-2 遺傳諮詢後各項成效次數分佈…………………………355-5-3 遺傳諮詢後各項成效分佈…………………………………36 | en |
dc.format | application/pdf | en |
dc.format.extent | 652777 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.language | zh-TW | en |
dc.language.iso | en_US | - |
dc.subject | 羊膜穿刺 | zh-TW |
dc.subject | 高齡孕婦 | zh-TW |
dc.subject | 非高齡孕婦 | zh-TW |
dc.subject | 動機 | zh-TW |
dc.subject | 遺傳諮詢 | zh-TW |
dc.subject | 成效 | zh-TW |
dc.subject | amniocentesis | en |
dc.subject | advanced maternal age | en |
dc.subject | non-advanced maternal age | en |
dc.subject | motive | en |
dc.subject | genetic counseling | en |
dc.subject | effectiveness | en |
dc.title | 孕婦接受羊膜穿刺檢查動機與遺傳諮詢成效之探討 | zh-TW |
dc.title | Factors Affecting Women’s Acceptance of Amniocentesis and the Effectiveness of the Genetic Counseling | en |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/178644/1/ntu-97-P95448011-1.pdf | - |
item.languageiso639-1 | en_US | - |
item.grantfulltext | open | - |
item.fulltext | with fulltext | - |
顯示於: | 分子醫學研究所 |
檔案 | 描述 | 大小 | 格式 | |
---|---|---|---|---|
ntu-97-P95448011-1.pdf | 23.32 kB | Adobe PDF | 檢視/開啟 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。