國內外妊娠糖尿病的發生率攀升，影響孕產婦及胎兒之健康甚劇。本文旨在探討一般孕婦與妊娠糖尿病孕婦，於孕期之心理壓力與社會支持的現況及其差異性。本研究採橫斷性研究設計，研究對象為彰化地區的一般孕婦與妊娠糖尿病孕婦，採方便取樣，以結構式問卷收集研究對象之心理壓力與社會支持程度。研究對象為：年齡20歲以上，確認懷孕24週以上的婦女，識國字且能以國、台語溝通，同意參與本研究者。實際收案數為，一般孕婦32位、妊娠糖尿病孕婦28位。研究發現：一般孕婦最主要的壓力是身體外觀和功能改變所致之壓力，而妊娠糖尿病孕婦則是認同母親角色所致之壓力。而且，在處理個人問題時，妊娠糖尿病孕婦比一般孕婦更難以得到朋友的建議。再者，孕期生理不適會影響一般孕婦之心理壓力，以及妊娠糖尿病孕婦之社會支持感受。建議成立孕婦個案管理制度，在其妊娠期間，每三個月進行一次心理社會壓力的篩查，以及早發現風險及進行協助，作為婦女全面照顧之一。孕期生理不適常被視為懷孕所致，忽略其可能與心理壓力或社會支持之相互關係，本研究發現兩組孕婦常見之孕期不適症狀有異，其對應之壓力表現也有所不同，可於後續研究。

At home and abroad, the incidence of gestational diabetes climbed, affecting maternal and fetal health drama. This article aims to explore the status and differences of psychological stress and social support in pregnant women and pregnant women with gestational diabetes. In this study, the study was designed to study the Changhua area of pregnant women and pregnant women with gestational diabetes, convenience sampling and using structured questionnaires to collect the psychological stress and social support degree of the subjects. The subject of study was: 20 years old or above, women who confirmed that they had been pregnant for more than 24 weeks, and were able to communicate with the Taiwanese language and agreed to participate in the researcher. Throughthe purposive sampling, the sample size that I acquired was 32 the general pregnant women and 28 gestational diabetes pregnant women. The study found that the most important stress of pregnant women is stress from altered physical appearance and function, while pregnant women with gestational diabetes are stress from maternal role identification. Also, in dealing with personal problems, pregnant women with gestational diabetes are more difficult to get advice from friends than women in general. Furthermore, physical discomfort during pregnancy may affect the psychological stress of pregnant women and the social support experience of pregnant women with gestational diabetes. It is recommended that a case management system for pregnant women be established to conduct a screening of psychosocial stress every three months during pregnancy, with a view to early detection of risks and assistance as one of the comprehensive care of women. Physiological discomfort during pregnancy is often considered as a result of pregnancy, ignoring its possible relationship with psychological stress or social support, this study found that the two groups of pregnant women common pregnancy discomfort symptoms are different, the corresponding stress performance is also a difference, can be in follow-up study.

致謝..................I
中文摘要..............II
英文摘要.............III
目錄................VI-V
表目錄...........VI-VIII
目錄..................IX
第一章 緒論............1
第一節 研究背景及重要性.............1
第二節 研究目的.......3
第三節 研究問題........4
第四節 名詞定義.......5
第二章 文獻查證........6
第一節 妊娠糖尿病.....................................6
第二節 懷孕婦女之心理變化................................10
第三節 孕期心理壓力.................................11
第四節 孕期社會支持.........................12
第五節 影響孕期心理壓力與社會支持之因素................14
第三章研究方法.........18
第一節 研究架構.......19
第二節 研究假設.......20
第三節 研究對象......21
第四節 研究工具......22
第五節 資料收集......26
第六節 倫理考量......27
第七節 資料分析........28
第四章研究結果.........29
第一節 一般孕婦與妊娠糖尿病孕婦其基本資料之分佈情..........30
第二節 一般孕婦與妊娠糖尿病孕婦，於孕期心理壓力之現況......39
第三節 一般孕婦與妊娠糖尿病孕婦，於孕期社會支持之現況.......41
第四節 比較一般孕婦與妊娠糖尿病孕婦，其基本資料對孕期心理壓力之影響...............43
第五節 比較一般孕婦與妊娠糖尿病孕婦，其基本資料對孕期社會支持之影響...............78
第五章討論...........101
第一節 研究樣本之基本資料.......................101
第二節 孕婦孕期心理壓力之探討..................106
第一節 結論.........106
第二節 建議.........107
第三節 研究限制......108
參考文獻............109
附錄...............115
附錄一 專家效度名單..................................115
附錄二 個人基本資料調查表.......................116
附錄三 孕期心理壓力量表............................118
附錄四 孕期社會支持量表......................120
附錄五 研究倫理講習參加證明書..........................121
附錄六 問卷使用同意書................................124
附錄七 同意臨床試驗證明書..............................125

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