孕期应对方式与产妇心身健康的相关研究  

A correlated study of prenatal coping styles and the physiopsychological health of parturients

作　　者：罗小杏[1] 高延[1] 

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518133

出　　处：《中国妇幼健康研究》2013年第3期316-318,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的研究妊娠期采用的应对方式与产后心身健康的相关关系及心理护理方法。方法选择产后7天内产妇256名，采用自测健康评定量表和简易应对方式问卷对产妇进行心身健康和妊娠期应对方式评估。结果产妇最常采用的5种应对方式以积极应对为主。自测健康评定量表中身体活动功能与c8有显著相关性（r=0．128，P〈0．05），心理症状与负向情绪、认知功能维度、角色活动与社会适应、自测健康总分与c7有显著相关性（r值分别为0．135、0．117、0．115、0．139，P〈0．05），社会健康子量表分别与C2、c7有显著相关性（r值分别为0．116、0．137，P〈0．05），身体活动功能分别与C3、C12有极显著相关性（r值分别为0．219、0．153，P〈0．01），社会资源与社会接触与凹有极显著相关性（r=0．175，P〈0．01），社会支持分别于C2、c3、c8、CIO、C12有极显著相关性（r值分别为0．158、0．208、0．158、0．155、0．190，P〈0．01），心理健康子量表与凹有极显著相关性（r=0．154，P〈0．01），日常生活功能与C20显著负相关（r=-0．148，P〈0．05）。结论越能够采用较为积极的应对方式应对妊娠期各种应激事件的产妇，其心身健康水平越好。应针对妊娠期应对方式进行有效的心理护理。Objective To explore the correlation between prenatal coping styles and the physiopsychological health of parturients and corresponding psychological nursing countermeasures. Methods Self- rated Health Measurement Scale （SRHMS） and Simple Coping Style Questionnaire （SCSQ） were used to evaluate the physiopsychological health and prenatal coping styles of parturients within 7 days after delivery. Results The coping styles these parturients usually used were mostly positive. In SRHMS physical activity function was obviously correlated with C8 （r = 0. 128 ,P 〈 0.05）, while psychological symptoms and negative emotion, cognition function dimension, role activity and social adaptability, self-rated health score were remarkably related with C7 （r value was 0. 135, 0. 117, 0. 115 and 0. 139, respectively, all P 〈 0. 05）. Social health subscale was significantly correlated with C2 and C7 （r value was 0. 116 and 0. 137, respectively, both P 〈 0.05 ）. Physical activity function was extremely correlated with C3 and C12 （r value was 0. 219 and 0. 153, respectively, both P 〈 0.01 ）. Social resources and social contact were extremely correlated with C7 （r = 0. 175, P 〈 0.01 ） , and social support was extremely correlated with C2, C3, C8, C10 and C12 （r value was 0. 158, 0.208, 0. 158, 0. 155 and 0. 190, respectively, all P 〈 0.01 ）. Mental health subscale was extremely correlated with C7 （ r = 0. 154, P 〈 0.01 ）, and daily activity function was negatively correlated with C20 （r = - 0. 148, P 〈 0. 05）. Conclusion The more positive coping styles used in gestation, the better physiopsychological health of parturients. Psychological nursing should be provided according to prenatal coping styles.

关 键 词：产妇 应对方式 心身健康 心理护理 

分 类 号：R173[医药卫生—妇幼卫生保健] R715.3[医药卫生—公共卫生与预防医学]