[[alternative]]Effects of A Massage Intervention on Expectant Fathers’ Accompany Self-Efficacy and Mothers’Support during labor and delivery period.

[[abstract]]背景：孕育及迎接新生命的到來對婦女及其家庭，是一件相當有意義的生命歷程，隨著社會文化變遷，產前教育準父親按摩技巧，有助降低產婦產程之產痛及縮短產程時間，並降低非必要醫療措施。目的：探討於第一產程按摩方案對產婦分娩產支持之成效(包含研究對象實驗組與對照組於待產疼痛程度、產程時間、藥物使用狀況、生產支持及控制、待產經驗之差異分析)及準父親陪產效能之成效。方法：採類實驗設計，方便取樣，共收100位低危險群之單胞胎初產婦及其配偶，對照組50對接受產房常規照護指導，實驗組50對，於妊娠32週以上的產檢日接受按摩指導方案，按摩示範教導5個循環，1個循環按摩5次(1個循環約30秒)，再由準父親進行回覆示教5個循環，按摩力道依準媽媽感受而定，準媽媽可告訴按摩者力道強度，如果感覺不舒服可隨時暫停按摩。準父親回覆示教時協助錄影，可供準父親返家觀看練習，於入院時並接受產房常規照護指導。在介入方案前及產後3天內瑱寫結構式問卷：基本資料表、準父親陪產效能量表、疼痛視覺類比量表(VAS)、生產控制量表、待產經驗量表。結果：經由按摩方案介入，實驗組潛伏期VAS(p .05)，但實驗組選擇人數較少；生產支持及控制120.36±11.82分(p .05)，以皮爾森相關性分析進行產後準父親陪產效能與產婦產痛程度、待產經驗、生產控制(含內在控制、外在控制及生產支持三個構面)之關係，僅待產經驗(r= .206, p .05), but less women chose Epidural anesthesia in the intervention group. Furthermore, scores from support and control during childbirth were 120.36±11.82 (p .05). Besides, the relationship between the fathers’ accompany self-efficacy after childbirth, the degree of maternal labor pain, childbirth experience, control of birth, including internal control, external control and support of birth by Pearson correlation analysis, the childbirth experience (r= .206, p <.01) and the total efficiency of the internal control of control during childbirth (r= .202, p <.001) was positively correlated.Conclusion/Implications for Practice: By prenatal education of message skills, the intensity of labor pain, medical intervention was reduced during the 1st labor stage, and the labor experience, control and support of birth was improved. Furthermore, the labor hours in the intervention group were 5.18 less hours than the control group. As for the effect of prospective fathers’ accompanying is not significant, but still shows a positive correlation with labor experience the internal control in birth. It implies the accompanying is a positive factor. We recommended the prenatal education of massage skills for the prospective fathers should be included to reduce the labor pain at the 1st labor stage and promote the marriage relationship