研究生: |
周如茵 Chou, Ru-Yin |
---|---|
論文名稱: |
雙倍辛苦、雙倍幸福:雙胞胎媽媽撫育雙胞胎之心路歷程 Double workload and double happiness:Life story for mothers with twins |
指導教授: |
田秀蘭
Tien, Hsiu-Lan |
學位類別: |
碩士 Master |
系所名稱: |
教育心理與輔導學系 Department of Educational Psychology and Counseling |
論文出版年: | 2020 |
畢業學年度: | 108 |
語文別: | 中文 |
論文頁數: | 160 |
中文關鍵詞: | 雙胞胎 、孕期壓力 、親職壓力 、社會支持 |
英文關鍵詞: | twins, pregnancy stress, parenting stress, social support |
DOI URL: | http://doi.org/10.6345/NTNU202000456 |
論文種類: | 學術論文 |
相關次數: | 點閱:298 下載:37 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究旨在探討雙胞胎母親從孕期到產後哺育雙胞胎的壓力來源與社會支持,透過母親自述,建構出雙胞胎母親從懷胎至生產、育兒的心路歷程。希冀透過質性研究中共構、解構和重新建構的「敘說研究」,了解雙胞胎媽媽從孕期開始的孕期壓力、育兒的親職壓力,以及尋求的社會支持。
研究對象為三位撫育雙胞胎的母親,雙胞胎的年齡都介於四歲到五歲之間,研究者事前擬定訪談大綱,由研究參與者敘說個人生命故事,並以質性研究中的敘事研究方法進行分析。
研究結果發現,(一)雙胞胎媽媽可尋求支撐信念以度過難捱的孕期,並在第三孕期後需開始注意身體狀況。(二)雙胞胎媽媽的親職壓力來源眾多,照顧雙胞胎往往令媽媽分身乏術、心神俱疲,但若能有配偶支持或能調整自我心態,較能化解困境,改善親子關係或夫妻關係。(三)雙胞胎媽媽通常需要協同照顧者一同撫育雙胞胎,其所需的社會支持類型以父母共親職最優先,其次選擇和雙胞胎媽媽的教育理念相近為佳。
This study was to discuss the origination of stress and understand how social supports worked, from pregnancy to postpartum breastfeeding, for twins’ mothers; in addition, to construct the course of internal struggle from pregnancy to parenting by their self-narrative. Through the co-constructing, deconstructing and reconstructing process in narrative approach, qualitative research to comprehend the pregnancy stress, parenting stress and what social supports have these twins’ mothers been sought.
The research subjects were three twins’ mothers while the age of their twins were all between four to five years old. An interview outline was prepared in advance and narrative approach, qualitative research, was introduced for analyzing after the self-narrative by the participants.
The findings of this study are: 1. Mothers of twins would seek for supports and beliefs to get through the pregnancy difficulties; especially they need to pay more attention on their physical condition while the third trimester starts. 2. Taking care of twins often makes mothers exhausted due to significant and diversified sources of parenting stress, however the difficulties could be minimized and parent-children, spousal relationship could be improved on condition of spousal support or own mentality adjustment. 3. Twins mothers usually need supportive caregivers to co-raise the twins due to heavily pressure and workload. Parents’ co-parenting would be the best social support, and personnel with comparable upbringing philosophy would be the secondary best option.
中文部分
任文香(1995):幼兒母親親職壓力,因應策略與親子關係滿意之關係研究(未發表)。國立臺灣師範大學家政教育研究所碩士論文。
吳佳玲(2008):台灣親職壓力相關研究之回顧與分析。台南科技大學通識教育學刊,7,63-88。
吳佳賢(2002):學前自閉症兒童主要照顧者照顧負荷、社會支持與心理健康之相關研究(未發表)。國立暨南國際大學社會政策與社會工作學研究所。
吳芝儀(2005):敘事研究的方法論探討。南華大學,嘉義縣。
吳瑋琳 (2007) :早產及低出生體重新生兒之危險因素分析:單、雙、多胞胎之影響(未發表)。國立臺灣大學衛生政策與管理研究所碩士論文。
李娟慧(2000):青少年自尊、社會支持與社會適應之相關研究(未發表)。國立彰化師範大學輔導與諮商學研究所碩士論文。
李家琦 (2007) :自閉兒母親的自我效能、社會支持與壓力因應歷程之關係(未發表)。私立長庚大學臨床行為科學研究所碩士論文。
林世華、陳柏熹、黃寶園、傅瓊儀、趙如錦譯(2005):社會科學研究法:量化與質化取向。五南。
林美珠(2000):敘事研究:從生命故事出發。輔導季刊,36(4),27-34。
林淑玲 (2012) :高危險妊娠的護理。余玉眉總校閱,產科護理學。新文京。
祁安美、戈依莉 (2004) :雙胞胎的母育角色與調適。長庚護理,15(4),430-435。
邱偉修(2007):個案管理模式於雙胞胎妊娠孕婦的照護之成效(未發表)。國立台北護理健康大學護理助產研究所碩士論文。
金樹人(2005):心理位移辯證效果敘事之敘事分析。行政院國家科學委員會專題研究成果報告(編號:NSC93-2413-H-003-001)。引自網站:http://web.ntnu.edu.tw/~t05006/2003project.pdf,2020年6月1日。
柯淑華 (2006) :分娩期異常的護理於李從業總校閱,實用產科護理。華杏。
洪珮婷 (2001) :過動兒的母親壓力與因應策略之探討(未發表)。私立東吳大學社會工作學研究所碩士論文。
翁毓秀(1999):親職壓力與兒童虐待-兼論兒童虐待的預防。社區發展季刊,86,262-279。
馬一波、鐘華(2006):敘事心理學。上海教育出版社。
高川琪、詹耀龍 (2009) :單絨毛膜雙胞胎合併-胎兒先天性肺囊腫腺瘤樣畸形。周產期會訊,159。引自網站:https://www.tsop.org.tw/upload/magazine/20190529134358_magazine_0.pdf,2020年6月1日。
高淑清(2008):質性研究的18堂課—首航初探之旅。麗文文化。
張美雲(2007):發展遲緩兒童家庭社會支持、親職壓力與賦權增能之相關研究(未發表)。國立彰化師範大學特殊教育學所碩士論文。
張瑜珊 (2013) :探討單胞胎與多胞胎早產兒母親的社會支持,與自覺壓力和母育信心之相關性(未發表)。中國醫藥大學護理學研究所碩士論文。
郭倩如(2013):新手媽媽壓力源、壓力因應策略與壓力反應之調查研究(未發表)。中國文化大學心理輔導學研究所碩士論文。
陳向明(2002a) :教師如何作質的研究。洪葉。
陳向明(2002b):社會科學質的研究。五南。
陳春華(民72):一位初產婦面對照顧其雙胞胎新生兒之行為特性。護理雜誌,30(3),99-103。
陳若琳(2002):母親親職壓力與教養品質對幼兒社會能力影響之探討。輔仁學誌,法管理學院之部,35,51-78。
陳密桃、陳玲婉(2007):國小學童母親的人格特質與親職壓力、幸福感之相關研究。高雄師大學報,20(2),1-20
陳富美、利翠珊 (2004) :夫妻的育兒經驗:親職分工與共親職的探討。中華心理衛生學刊,17(4),1-28
陳惠茹 (2015):教養嬰幼兒親職壓力之研究:以家庭壓力理論分析。幼兒教保研究期刊,(14),19-40。
程一民(1996):國民小學教師工作壓力與因應方式之研究(未發表)。市立臺北師範學院初等教育學所碩士論文。
黃政傑(1996):質化研究的原理與方法。漢文。
楊正誠 (2002) :大學生網路成癮、社會支持與生活適應關係之研究(未發表)。東海大學教育研究所碩士論文。
楊莉萍(2006):社會建構論心理學。上海教育出版社。
葉光輝 (2004) :家庭共親職互動文化類型之探討。中華心理衛生學刊,13(4),33-76。
趙慧敏 (2005) :青少年分手後的個人因應、社會支持與心身健康之關聯性探討(未發表)。東吳大學心理學所碩士論文。
劉清彥、張國燕(2000):育兒百科─養育0~5歲寶寶應該關心的所有知識。新手父母。
潘淑滿 (2003) :質性研究:理論與應用。心理。
蔡蔚瑩 (2010) :青少年階段智能障礙學生母親壓力因應歷程之研究(未發表)。國立彰化師範大學特殊教育學所碩士論文。
英文部分
Aldwin, C. M. (1994). Stress, coping, and development: An integrative perspective. Guilford.
Belsky, J., Hsieh, K.H. (1998). Patterns of marital change during the early childhood years: Parent personality, co-parenting, and division-of-labor correlates. Journal of Family Psychology, 12(4), 511-528.
Boivin, M., Pe´russe, D., Dionne, G., Saysset, V., Zoccolillo, M., Tarabulsy, G. M., Tremblay, N., & Tremblay R. E. (2005). The genetic-environmental etiology of parents’ perceptions and self-assessed behaviours toward their 5-month-old infants in a large twin and singleton sample. Journal of Child Psychology and Psychiatry, 46(6), 612-630.
Bowlby, J. (1982). Attachment and loss: Vol. Attachment (2nd ed.). Hongarth.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. Basic Books.
Brott, P.E. (2001). The storied approach: A postmodern perspective for career counseling. The Career Development Quarterly, 49, 304-313.
Bryan, E. (1983). Twins in the family. Nursing Times, 79(28), 50-52.
Caplan (1974). Support Systems and Community Mental Health; Lec-tures on Concept Development. Behavioral Publica-tions.
Cetrulo, C.L., Ingardia, C.J., & Sbarra, A.J. (1980). Management of multiple gestation. Clinical Obstetrics & Gynecology, 23(2), 533-547.
Chang, C. (1990). Raising twin babies and problems in the family. Acta Geneticae Medicae et Gemellologiae, 39(4), 501-505.
Clandinin, D. J. & Connelly, F. M. (1999). Narrative inquiry: Experience and story in qualitative research. Jossey-Bass Publishers.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314.
Cohen, S., & Will, T. A.(1985). Stress, social support, and the buffering hypothesis. Psychology Bulletin, 98(2), 310-357.
Colvin, M., Cullen, F.T., & Vander Ven, T. (2002). Coercion, social support, and crime: An emerging theoretical consensus. Criminology, 40, 19-42.
Crnic, K. A., & Booth, C. L. (1991). Mothers' and fathers' perceptions of daily hassles of parenting across early childhood. Journal of Marriage and the Family, 68(2), 1042-1050.
Cunningham, F.G., MacDonald, P.C., & Gant, N.F. (1989). Williams obstetrics (18th ed.). Appleton & Lange.
Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10(1), 45.
Denzin, N. K., & Lincoln, Y. S. (2005). HandBooK of Qualitative Research (3rd ed.). sage.
Duvall, E. M. (1977). Marriage and family development. Lippincott.
Gardner, M.O., Goldenberg, R.L., Cliver, S.P. (1995). The origin and outcome of preterm twin pregnancies. Obsterics & Gynecology, 85(4), 553-557.
Garel, M., Salobir, C., & Blondel, B. (1997). Psychological consequences of having triplets: a 4-year follow-up study. Fertility and Sterility, 67(6), 1162-1165.
Hawrylshyn, P.A., Barkim, M., & Papsin, F.R. (1982). Twin pregnancy: A continuing perinatal challenge. Obstetrics & Gynecology, 59(4), 363-366.
Heinicke, C.M. (1995). Determinants of the transition to parenting. In M. H. Bornstein(Ed.), Handbook of parenting: Vol. 3. Status and social conditions of parenting (pp. 277-303). Lawrence Erlbaum.
Hipwell, A. E., Murray, L., Ducournau, P., & Stein, A. (2005). The effects of maternal depression and parental conflict on children's peer play. Child: care, health and development, 31(1), 11-23.
House (1985). Measures and concepts of social support. Social Support and Health, 21, 83-108.
Jarvis, P. A., & Creasey, G. L. (1991). Parental stress, coping, and attachment in families with an 18-month-old infant. Infant behavior and development, 14(4), 383-395.
Jenkins, D. A., & Coker, R. (2010). Coping with triplets: Perspectives of parents during the first four years. Health & Social Work, 35(3), 169-180.
Kovacs, B.W., Kirschbaum, T.H., & Paul, R.H. (1989). Twin gestations: 1. Antenatal care and complications. Obstetrics & Gynecology, 74(3 pt1), 313-317.
Laschinger H.K., Finegan J., Shamian J. (2001) Impact of structural and psychological empowerment on job strain in nursing work setting. Journal of Nursing Administration, 31,260–272
Laschinger, H. K. S., & Havens, P. L. (1997). The effect of workplace empowerment on staff nurses’ occupational mental health and work effectiveness. Journal of Nursing Administration, 27(6), 42-50.
Lazarus, R., & Folkman, S. (1984). Stress, Appraisal, and Coping. Springer.
Lieblich, A., Tuval-Mashiach, R., & Zilber, T. (1998). Narrative Research. Sage.
MacDermid, S. M., Huston, T. L., & McHale, S. M. (1990). Changes in marriage associated with the transition to parenthood: Individual differences as a function of sex-role attitudes and changes in the division of household labor. Journal of Marriage and the Family, 27(6), 475-486.
McHale, J. (1997). Overt and convert co-parenting processes in the family. Family process, 36, 183-201.
McKenry, P. C., & Price, S. J. (2000). Families coping with problems and change: A conceptual overview. Families and change: Coping with stressful events and transitions, 2, 1-21.
Mishel, M. H., & Braden, C. J. (1988). Finding meaning: Antecedents of uncertainty in illness. Nursing Research, 37(2), 98–103.
Moilanen I (1987). Dominance and submissiveness between twins. I. Perinatal and development aspects. Acta Genet Med Gemellol (Roma), 36(2), 249-255.
Nelson & Martin(1985)Increased Child Abuse in Twins. International Journal of Child Abuse and Neglect, 9(4), 501-505
Olivennes, F., Golombok, S., Ramogida, C., Rust, J., & Team, F. U. (2005). Behavioral and cognitive development as well as family functioning of twins conceived by assisted reproduction: findings from a large population study. Fertility and Sterility, 84(3), 725-733.
Pelletier, L., Godin, G., Lepage, L. & Dussault, G. (1994). Social support received by mothers of chronically ill children. Child, Care, Health and Development, 20, 115-131.
Polin, J. I., & Frangipane, W.L. (1986). Current concept in management of obstetric problem for pediatricians-modern concepts in manage of multiple gestation. Pediatric Clinics of North American, 33(3), 649-661.
Ponnet, K., Wouters, E., Mortelmans, D., Pasteels, I., De Backer, C., Van Leeuwen, K., & Van Hiel, A. (2013). The influence of mothers' and fathers' parenting stress and depressive symptoms on own and partner's parent‐child communication. Family Process, 52(2), 312-324.
Price, S., Lake, M., Breen, G., Carson, G., Quinn, C., & O'Connor, T. (2007). The spiritual experience of high-risk pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing, 36(1), 63-70.
Reitman, D., Currier, R. O., & Stickle, T. R.(2002)A Critical Evaluation of the Parenting Stress Index-Short Form(PSI-SF)in a head start population. Journal of Clinical Child & Adolescent Psychology, 31(3), 384-392.
Sandbank, A. C. (1988). The effect of twins on family relationships. AMG Acta Geneticae Medicae et Gemellologiae: Twin Research, 37(2), 161-171.
Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44(1), 127–139.
Schave, B., & Ciriello, J. (1983). Identity and intimacy in twins. Praeger.
Simon, R. W. (1992). Parental role strains, salience of parental identity and gender differences in psychological distress. Journal of Health and Social Behavior, 24(3), 25-35.
Spillman, J.R. (1987). Double exposure-coping with newborn twins at home. Midwife, Health Visitor & Community Nurse, 23(3), 92-94.
Taylor, S. E., Peplau, L. A., & Sears, D. O. (2003). Social Psychology (11 Ed.). th Upper Saddle River, Prentice-Hall.
Thoits, P. A. (1986). Social support as coping assistance. Journal of Consulting and Clinical Psychology, 54(4), 416-423.
Twombly, R. (1990). Two at a time. Parents' Magazine, 65(9), 92-99.
Walton J, Collins J, Linney J. (1994). Working together to meet the needs of multiple-birth families. Health Visit. 67(10), 342-343.
Walton, J., Collins, J., & Linney, J. (1994). Working together to meet the needs of multiple-birth families. Health Visitor, 57(9), 342-343.
Warren, P.L. (2005). First-time mothers: social support and confidence in infant care. Journal of Advanced Nursing, 50(5), 479-488.