住院安胎婦女焦慮及其預測因子

Predictors of Anxiety in Hospitalized Women Undergoing Tocolysis

背景：入院安胎常常是因無預警之突發狀況，生活時空驟然改變，且面臨自身及胎兒生存上的不確定，易出現焦慮情形，然而焦慮預測因子較少被探討。 目的：分析住院安胎婦女焦慮之預測因子。 方法：本研究採橫斷性相關性研究設計，於北部某醫學中心，以立意取樣選取住院安胎2 天以上之婦女，進行結構式問卷調查。研究工具包含：研究對象基本屬性量表、情境焦慮量表（State Trait Anxiety Inventory）、焦慮視覺類比量表（Visual Analogue Scale- Anxiety）進行資料收集。 結果：本研究個案數為130 名，平均年齡為33.37±5.01。住院安胎孕婦的焦慮程度為中度焦慮，焦慮與年齡、過去有產後合併症及所住房型呈現顯著關連性。高齡、過去有產後合併症焦慮程度較高，所住房型為無隔間病房之焦慮程度顯著高於2 人房。多元迴歸檢測顯示安胎期間所住之房型是住院安胎孕婦情境焦慮之預測因子。本研究未發現過去周產期失落經驗對此次住院安胎焦慮情形有顯著影響。 結論與臨床應用：住院安胎婦女普遍有中度焦慮，住院房型為情境焦慮之預測因子。建議需著重照護婦女住院安胎期間空間所帶來的焦慮感，而臨床照護需常規評估焦慮並建立標準照護指引。

Background: Hospitalization for tocolysis is often unexpected, a sudden change in regular life and familiar space. Uncertainty about one's survival and that of the fetus, making one vulnerable to anxiety, but the predictors of anxiety are less explored. Purpose: This study aims to explore the predictors of anxiety in hospitalized women undergoing tocolysis. Method: A cross-sectional survey was conducted across a medical center in Northern Taiwan. Participants completed a self-administered survey which included the participants’ basic characteristics, the situational anxiety scale (State-Trait Anxiety Inventory), and the visual analogue scale of anxiety (Visual Analogue Scale-Anxiety). Data were analyzed using SPSS 17. software. Results: A total of 130 women with an average age of 33.37±5.01 responded to the survey. The anxiety level was moderate and showed a significant correlation with age, previous postpartum complications, and the type of room. The level of anxiety was higher in older women, women with previous postpartum complications, and women staying in the non-compartmental room type. The multivariate linear regression showed that the type of room during tocolysis was a predictor of situational anxiety. The study did not find any significant association between past perinatal loss and anxiety. Conclusions/Implications for Practice: Women who are hospitalized for tocolysis generally have moderate anxiety, and the room type can be a factor associated with situational anxiety. Nursing care can take spacing into consideration and routinely assess anxiety and establish standard care guidelines.