Browsing by Author "Lin, Chen-Li"

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    Pregnant women’s attitudes and decision-making regarding prenatal Down syndrome screening and diagnosis: scale development and validation
    (2020-07-14) Huang, Wei-Hsiang; Shih, Shu-Fang; Lin, Chen-Li; Liu, Chieh-Hsing
    Abstract Background Down syndrome is a common chromosomal abnormality and prenatal screening can inform parents of the risk of their baby having Down syndrome. Little research has examined how decisions regarding both Down syndrome screening as well as diagnosis are made among women who are currently pregnant and how their decisions are influenced by their social contexts, specifically family and social media, using mixed methods. The study was to test the validity and reliability of a scale that measures pregnant women’s attitudes and decision-making concerning prenatal Down syndrome screening and diagnosis in urban areas of Taiwan. Methods We developed an item pool based on a literature review and in-depth interviews with 30 pregnant women recruited at two district hospitals in urban areas. The item pool was reviewed by a panel of experts and then administered to 300 women who had been pregnant for less than 24 weeks and had not received the Down syndrome screening tests. We used item analysis and exploratory factor analysis to validate the scale and test its reliability. Results The initial item pool had 54 items. After the expert review, three items were deleted. After the item analysis, 16 additional items were deleted. Exploratory factor analysis of the remaining items revealed four factors labeled – “Attitudes towards Down syndrome and Screening Tests,” “Important others’ Attitudes towards Down Syndrome,” “Influence of Important Others on Decision-Making,” and “Influence of Social Media on Decision-Making” – and 16 of the remaining items had satisfactory loadings on those factors, explaining 72.0% of the total variance. The Cronbach’s α values of the dimensions ranged between 0.75 and 0.90, demonstrating satisfactory internal reliability. Conclusions The scale has satisfactory validity and reliability, and can be used to understand pregnant women’s attitudes and decision-making regarding Down syndrome screening and diagnosis, and to help design tailored consultations for pregnant women in clinical settings.
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    台灣婦女產後回復吸菸行為影響因素與戒菸專線諮詢效果之探討
    (2016) 林陳立; Lin, Chen-Li
    戒菸對婦女本身和嬰兒的健康都有助益，但國外系統性的研究指出，七成以上在懷孕期戒菸的婦女，會在生產後回復吸菸，其原因很廣泛，並且少有介入計畫被證明有防止效果，目前國內還沒有相關的介入研究。本論文乃評估戒菸專線模式，對於預防產後婦女回復吸菸的成效，並且以所蒐集的資料探討其相關的影響因素。 本論文乃前瞻性之世代研究並採用真實驗設計，於2014年9月至2015年11月期間，在台北市立聯合醫院婦幼院區，有72位符合條件產婦自願加入研究，並以呼氣一氧化碳濃度測量確認其戒菸狀態，對照組僅接受一般衛教指導者，而實驗組則再接受了戒菸專線的電話諮商，評量工具為自行建構之問卷、尼古丁成癮量表及愛丁堡產後憂鬱量表，在產後一周內先接受前測，產後兩個月再進行後測，我們共有23位產婦完成戒菸專線介入，68位完成產後六個月的電話追蹤及採用卡方、t檢定及羅吉斯回歸來分析資料。 結果顯示回復吸菸率在產後三個月時為36.8%，並且有較低回復吸菸機率的因素包括只有一個小孩(機率比[OR] = 0.01，95%信賴區間CI= <0.01-0.42，p = 0.016)、過去有戒菸經驗(OR = 0.03，95% CI = <0.01-0.57，p= 0.019)及產後知覺行為控制較好(OR = 0.99，95% CI = 0.98-1.00，p = 0.021)。產後六個月時的回復吸菸率為42.6%，並且有較低回復吸菸機率的因素包括只有一個小孩(OR = 0.04，95% CI =<0.01-0.54，p = 0.015)、過去有戒菸經驗(OR = 0.09，95% CI = 0.01-0.84，p = 0.035) 及產後知覺行為控制較好 (OR = 0.99，95% CI = 0.98-1.00，p = 0.025)，另外菸齡長則較易回復(OR = 1.29，95% CI = 1.04-1.58，p = 0.018)，其他因素則未達到顯著差異。戒菸專線對回復吸菸率、態度、主觀規範和產後憂鬱程度等並無顯著的改變，但對知覺行為控制有正面的影響(p=0.032)。 本論文的結論是影響婦女在產後回復吸菸的因素中，以過去的戒菸經驗、胎次和知覺行為控制較為顯著，戒菸專線雖然能提高產婦的行為控制程度，但仍不足以影響其行為，建議未來可以在孕期納入回復吸菸的風險評估機制，並強化行為控制的指導。