背景：懷孕一般被認為是婦女生命中重要且喜悅的事，然而居家安胎婦女為了避免早產，需面對生活中諸多挑戰，她們須暫停其在家庭與社會中的角色與功能並學習監控細微的身體變化與適應安胎藥物的副作用，這樣的生活處境帶給婦女不少之情緒負擔。然而國內外研究較少探討居家安胎婦女生、心壓力之狀態及其對懷孕結果之影響，致使醫療人員對婦女在居家安胎期間的生、心壓力狀態與需求的瞭解相當有限。故本研究目的為探討居家安胎婦女生、心壓力狀態及其壓力狀態、人格特質與社會支持對其懷孕結果之影響。
方法:採兩階段研究，第一階段研究整合文獻查證、10位居家安胎婦女之訪談及參考現存測量高危險妊娠壓力量表，發展適切反映居家安胎情境之「安胎壓力量表」；第二階段採前瞻縱貫性之設計，針對50位居家安胎婦女，在其早產症狀發生至生產期間，以自陳式問卷每四週重覆測量其心理壓力狀態，並紀錄其人格特質、社會支持情形，並在產後分析其頭髮皮質醇濃度以反映孕期生理壓力之反應及紀錄其懷孕結果，同時招募64位健康婦女作為居家安胎婦女壓力之參照組。
結果:第一階段研究安胎壓力量表發展結果顯示其具備適切之信效度。第二階段研究發現居家安胎婦女壓力顯著高於一般健康懷孕婦女，且孕期間近45%的安胎婦女其情緒狀態接近憂鬱的情形，而孕期的進展、高度正向自我評價之人格特質與社會支持、兼職的受雇狀態及返回職場之安胎狀態被發現能降低居家安胎婦女之憂鬱與心理壓力之狀態，而雙胞懷孕及較高betamethasone的使用劑量者其胎兒出生週數與出生體重較低，而受雇與初產婦女的胎兒出生週數則顯著高於未受雇及經產婦女。
結論:居家安胎婦女之憂鬱、壓力狀態及壓力內容與壓力相關因素已被進一步了解，這些結果可作為未來適切照護措施擬定與介入之參考，以增進居家安胎婦女之身心健康。

Background: Pregnancy is often portrayed as a joyful period for women. However, when pregnant women suffer from complications and must receive home tocolysis, they are forced to suspend their original life routines and learn to live with the risk of preterm birth. Such a living context causes a heavy emotional burden on women. However, few studies have explored the physiological and psychological stress status of women with home tocolysis. Therefore, the purpose of this study was to investigate the physiological and psychological stress status of home tocolysis women and determine the impact of the physiological and psychological stress status, personality and social support on their pregnancy outcomes.
Methods: Two-stage study was conducted. The stage-1 study followed the procedure of instrument development to construct the tocolysis stress questionnaire to assess the distress of women with home tocolysis. In stage-2 study, a prospective longitudinal study was conducted to measure repeatedly the psychological stress status of 50 women with home tocolysis every 4 weeks from the occurrence of preterm labor complications to delivery, and to assess their personality and social support. After delivery, women’ hair cortisol and pregnancy outcomes were measured. In addition, 64 healthy pregnant women were recruited as the stress and depression reference group for the women with home tocolysis.
Results: The stage-1 study demonstrated the adequate psychometric properties of the tocolysis stress questionnaire. The stage-2 study showed that stress and depression of tocolysis women was generally significantly higher than that of health pregnant women, and about 45 % of tocolysis women may experience symptoms of depression. Moreover, later pregnancy, positive personality, higher social support, part-time employment, and the status of return to work were found to lower the depression and stress changes of these women. Twin gestations and higher dose usage of betamethasone were associated with lower infant birth weight and gestational age at birth, while infant gestational age at birth of employed women and nulliparity was higher than unemployed and primpairty or multiparity
Conclusion: This study highlighted the need for early detection and routine mental health screening for home tocolysis women. Moreover, the interventions of strengthening self-confidence and self-efficacy for women to cope with physical restrictions and pregnancy complications, and diverse and continuous support could be benefit for alleviating the stress and depression of tocolysis women.

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