視訊化拉梅茲生產法對產婦生產知識、態度、行為之成效

The Effectiveness of the Video-Based Lamaze Method on Prenatal Mothers' Knowledge, Attitudes, and Practice

本研究比較視訊化拉梅茲生產法與傳統護理指導，對產婦生產知識、態度、行為之影響。透過類實驗設計，將懷孕32週以上產婦分為四組，實驗組（E1：接受傳統加上視訊化拉梅茲護理指導；E2：接受視訊化拉梅茲護理指導）及對照組（C1：接受傳統拉梅茲護理指導；C2：未接受護理指導或生產課程）。結果顯示前測知識及行為得分以實驗組（E1）最高，四組態度得分則無統計上顯著差異。而後測則是實驗組得分均比對照組佳，除態度外，實驗組（E1）在知識（E1： 13.09±1.40, E2： 12.40±1.17）及待產過程行為得分（E1： 119.00±10.91，E2： 112.97±14.33）並未顯著高於實驗組（E2）。相關分析發現產前知識分數越高，產前行為、產後知識、產後態度、及待產過程行為越佳。產前態度越正向，產後知識、產後態度、及待產過程行為越佳。產前行為分數越高，產後知識、產後態度、及待產過程行為越佳。產後知識、態度、及待產過程行為間亦成正相關。本研究說明視訊化拉梅茲護理指導，應能有效增加產婦知識、態度、及待產過程行為。如果合併傳統護理指導，在態度部份則有加強效果。

This study was conducted to explore the effectiveness of the video-based Lamaze method on prenatal mothers' knowledge and attitudes, compared with that of traditional nursing guidelines. Using a quasi-experimental design, women in labor with gestations of 32 weeks or more were divided into four study groups, including two experimental groups (E1: issued with traditional nursing guidelines and instructed in video-based Lamaze method; and E2: instructed in video-based Lamaze method), and two control groups (C1: issued with traditional nursing guidelines and C2: issued with no guidelines). Before the intervention, E1 had the highest score for knowledge. Scores for attitude showed no significant difference between the four groups. The experimental groups had higher scores than the control groups in the posttest. With the exception of the scores for attitude (E1＞E2), knowledge (E1: 13.09±1.40, E2: 12.40±1.17) and management of the labor process (E1: 119.00±10.91, E2: 112.97±14.33) there were no significant differences between E1 and E2 in the posttest. Correlation analysis showed that the higher the scores for prenatal knowledge, the better the performance in prenatal practice, postnatal knowledge, attitude, and management of the labor process. The more positive the prenatal attitude, the better the performance in postnatal knowledge, attitude, and management of the labor process. The higher the scores in prenatal practice, the better the performance in postnatal knowledge, attitude, and management of the labor process. Positive associations were also found between postnatal knowledge, attitude, and management of the labor process. This study showed that the video-based Lamaze method is likely to promote more effectively than traditional guidelines the knowledge, attitudes, and practice of prenatal mothers in relation to giving birth. The use of this method in conjunction with traditional nursing guidelines may be even more effective in relation to maternal attitude.