| 摘要: | COUPLES' EDUCATIONAL LEVEL AFFECTS THE QUALITY OF LIFE OF POSTPARTUM WOMEN Shih-Chieh Liao, Medicine, Wen-Miin Liang, Department of Public Health, Li-Jin Huang, Nursing, Yu-Hsiang Juan, Medicine, China Medical University, Taichung, Taiwan, ROC AIMS: The purpose of this study is to address how couples' educational level affects the postpartum women's quality of life (QOL). METHODS: In 2003, 407 Taiwanese participants after 6 weeks labor answered the WHOQOL-BREF Taiwanese Edition to evaluate their QOL. The items of WHOQOL-BREF were categorized with standard algorithms to analyze four summary scores of QOL, which are Physiology (PH), Psychology (PS), Social (SO) and Environmental (EV). RESULTS: Based on the MANOVA tests, SO and EV were affected by the couples' educational level (p=.013 and .001, respectively), but PH and PS were not ( p=.522 and .110, respectively). The curves of QOL versus educational level were S-shape with consistent increment throughout, except for a valley point of a specific husband-wife combination (the husband with Master and wife with bachelor degrees). CONCLUSIONS: The valley point is caused by status inconsistency, which plays a major role in the decline of the women's QOL. According to the official reports announced by Taiwanese government in 2003, the average income of master degree graduates had not significantly increased since 1993, but the number of graduate students rises to approximately four times as before, which resulted in higher job competitions. Pohorila (2001) argues the effect of deprivation in the three dimensions of living conditions: income, housing and household property on psychological functioning measured as depression and fatalism, which coincide with the significant valley point noted in this study, as master and bachelor degree couples may anticipate better life quality but suffer immense reality conflict in the above three domains, and this corresponds to the greatest lost of expectation in SO and EV item gro? |
