个性、社会支持、应对方式对边远贫困山区住院分娩的影响  

Effect of personality,social support,and coping styles on hospital delivery in poverty-stricken mountainous areas

作　　者：王琼[1] 郭光萍[1] 谢薇[2] 杨力[1] 张倩[1] 杨一清 董有芹 杨正玲 

机构地区：[1]云南省妇幼保健院,云南昆明650051 [2]昆明医科大学 [3]临翔区妇幼保健院

出　　处：《中国妇幼保健》2013年第9期1392-1394,共3页Maternal and Child Health Care of China

基　　金：云南省卫生厅卫生系统学科带头人培养计划〔D-201253〕;中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目〔2012FY021〕

摘　　要：目的:探讨某些心理社会因素对边远贫困山区住院分娩的影响及其相互关系。方法选取边远贫困山区2010～2011年未住院分娩孕产妇173例为研究组,按同一行政村、同年、同民族,成组匹配182例住院分娩的孕产妇为对照组,进行艾森克个性、领悟社会支持、应对方式测评,比较两组孕产妇心理社会因素的差异及相互关系。结果:①除研究组孕产妇精神质得分比对照组孕产妇得分高外(P<0.05),其余艾森克个性各因子、领悟社会支持和应对方式两组差异均无统计学意义(P>0.05);②内外向与积极应对存在显著正相关,精神质与家庭支持存在显著负相关,神经质与应对方式均存在显著正相关,掩饰性与家庭支持存在显著正相关(P<0.05);③多因素Logistic回归分析显示,个性中的精神质、神经质和掩饰性均对住院分娩有影响。结论:领悟社会支持、应对方式对住院分娩的影响无单独作用,但可以与个性一起影响住院分娩的选择。Objective： To explore the effects of some psychosocial factors on hospital delivery in poverty -stricken mountainous areas and the interrelation. Methods： One hundred and seventy - three pregnant women who didn＇t delivery in hospital from 2010 to 2011 were selected from poverty- stricken mountainous areas as study group; 182 pregnant women of the same age and nationality who gave birth to their babies in hospital were selected from the same administrative village were selected as control group; Eysenck personality, perceived so- cial support, and coping styles were evaluated, the difference of psychosocial factors of pregnant women in the two groups and the interrela- tion were compared. Results： The score of psychoticism in study group was statistically significantly higher than that in control group （ P 〈 0. 05）, there was no statistically significant difference in the other factors, perceived social support, and coping styles between the two groups （P 〉 0. 05 ） ; introversion and extroversion were significantly correlated with active coping style, there was a significant negative corre- lation between psychoticism and family support, psychoticism was significantly positively correlated with coping styles, there was a significant positive correlation between dissimulation and family support （P 〈 O. 05 ） ; multivariate logistic regression analysis showed that psychoticistn, nervousness, and dissimulation had impacts on hospital delivery. Conclusion： Single perceived social support or single coping styles have no impact on hospital delivery, but they combined with personality can affect the choice of hospital delivery.

关 键 词：边远贫困山区 住院分娩 心理社会因素 

分 类 号：R173[医药卫生—妇幼卫生保健]