[[alternative]]Evaluation of the Effects of Expectant Fathers’ Accompanying Birth Education Program in Childbirth on Stress, Intimate Bond, Parents-Infant Attachment for the First-Time Parents and Women’s Childbirth Self-Efficacy.

[[abstract]]本研究目的在評價準父親陪產方案對準父親陪產壓力、陪產自我效能、夫妻親密感、初為人父親子依附關係及對準母親生產壓力及生產自我效能的影響。研究採實驗性研究法，研究對象為北部區域醫院懷孕滿34週第一胎準父母親，88對準父母隨機分派至實驗組與對照組，實驗組46對接受準父親陪產方案的課程，對照組42對則接受常規護理衛教。於產前收集準父母基本資料、壓力知覺量表、親密關係量表，準父親填寫陪產效能量表，準母親填寫生產自我效能量表；產後第二天收集父母親壓力知覺量表、親密關係量表、父親完成陪產效能量表及親子依附行為量表、母親完成生產自我效能量表；產後4-6週收集父母親親密關係量表，父親完成親子依附行為量表。資料收集期間為2016年1月25日至2016年8月。本研究結果顯示：「準父親陪產方案」，在準父親陪產壓力方面，兩組在產前（14.26 vs. 14.40, p>.05）及產後第二天（14.28 vs. 14.88, p>.05）無顯著差異；在準母親生產壓力方面，兩組在產前無顯著差異（17.63 vs. 15.90, p>.05），在產後第二天有顯著差異（15.02 vs. 15.95, p.05），在產後第二天有顯著差異（58.85 vs. 63.07, p.05）及產後4-6週（26.26 vs. 26.24, p>.05）無顯著差異，在產後第二天有顯著差異（27.83 vs. 26.50, p.05）、產後第二天（13.35 vs. 15.00 , p>.05）及產後4-6週（13.78 vs. 14.48, p>.05）統計分析無顯著差異；在母親關懷親密關係，兩組產前（26.54 vs. 26.64, p>.05）及產後4-6週（26.20 vs. 26.10, p>.05）無顯著差異，產後第二天有顯著差異（29.33 vs. 27.36, p.05）、產後第二天（8.70 vs. 8.95, p>.05）及產後4-6週（9.70 vs. 9.48, p>.05）無顯著差異。在準母親生產自我效能之結果期望/效能期望，在結果期望兩組產前（118.37 vs. 112.95, p>.05）無顯著差異，產後第二天（124.07 vs. 106.81, p.05）無顯著差異，產後第二天（117.59 vs. 105.07, p.05）及產後4-6週（67.28 vs. 64.45, p>.05）統計分析無顯著差異。綜合上述，「準父親陪產方案」能可以降低母親之生產壓力，提升父親陪產效能以及母親生產自我效能以及夫妻間的關懷親密關係親密程度。整體而言，本研究結果可提供臨床醫護人員對準父親陪產教育課程的重視及課程內容的參考，發揮實質的效能，落實夫妻共同獲得正向的生產經驗。[[abstract]]The purpose of this study was to evaluate the effects of expectant fathers’ accompanying birth education program in childbirth on stress, accompanying efficacy, couples intimate bond, parents-infant attachment and women’s childbirth self-efficacy. The experimental study design was used. A total of 88 expectant parents who were at 34 weeks gestation, and who met the study criteria, were allocated by randomization to experimental (n = 46) and control (n = 42) groups. The subjects were recruited from a northern regional hospital. For the experimental group, the birth education program was implemented. Members of the control group were given a slip of paper entitled “Small tips for the expectant fathers who accompany their partners in labor and delivery.” The expectant couples completed their basic personal information, Perceived Stress Scale, Intimate Bond Measure, expectant fathers’ completed Expectant Father Accompany Efficacy Scale; women completed Childbirth Self-efficacy Questionnaire when they were recruited. In two days after delivery, all the couples completed Perceived Stress Scale, Intimate Bond Measure, expectant fathers completed Expectant Father Accompany Efficacy Scale and Paternal Attachment Inventory, and women completed Childbirth Self-efficacy Questionnaire. Four-six week postpartum, all the couples completed Intimate Bond Measure; expectant fathers completed Paternal Attachment Inventory. The duration of data collection was from January 2016 to June 2016.The results of this study showed expectant fathers’ accompanying birth education program in childbirth on stress, fathers of the two groups in the prenatal period (14.26 vs. 14.40, p > .05) and on second day postpartum (14.28 vs. 14.88, p > .05) had not significantly; mothers in the prenatal period (17.63 vs. 15.90, p > .05) had not significantly, and on second day postpartum (15.02 vs. 15.95, p .05) had not significantly, and on second day postpartum (58.85 vs. 63.07, p .05) and four-six week postpartum (26.26 vs. 26.24, p > .05), had significantly on second day postpartum (27.83 vs. 26.50, p .05) and on second day postpartum (13.35 vs. 15.00, p > .05) and four-six week postpartum (13.78 vs. 14.48, p > .05). Care-Intimate Bond that mothers had no significantly in the prenatal period (26.54 vs. 26.64, p > .05) and four-six week postpartum (26.20 vs. 26.10, p > .05), had significantly on second day postpartum (29.33 vs. 27.36, p .05) and on second day postpartum (8.70 vs. 8.95, p > .05) and four-six week postpartum (9.70 vs. 9.48, p > .05). In the women’s childbirth self-efficacy, outcome expectations of self-efficacy, had no significantly in the prenatal period (118.37 vs. 112.95, p > .05), had significantly on second day postpartum (124.07 vs. 106.81, p .05), had significantly on second day postpartum (117.59 vs. 105.07, p .05) and four-six week postpartum (67.28 vs. 64.45, p >.05).In conclusion, expectant fathers’ accompanying birth education program was able to effectively relieve mother’s childbirth stress, to enhance fathers’ accompany efficacy and mother’s childbirth self-efficacy, to enhance couples care-intimate bond. In general, the result of this study could offer healthcare providers some references to future expectant fathers’ accompanying birth education program, as well as both physical and psychological support for expectant fathers and mothers. It could help them adopt a positive attitude toward the challenge of labor, and gain a more enjoyable childbirth experience