初产孕妇和“二孩”孕妇妊娠压力的现状及对比分析  

The current status and difference of pregnancy stress between first-time and second-time pregnant women

作　　者：张利卷 尹航[1] 陈志红[1] 汤观秀[2] 朱姝娟[3] 雷俊[1,4] 颜萍平[5] 刘清[3] ZHANG Lijuan YIN Hang CHEN Zhihong TANG Guanxiu ZHU Shujuan LEI Jun YAN Pingping LIU Qing(Hsiang-ya School of Nursing, Central South University, Changsha, 410000, China)

机构地区：[1]中南大学湘雅护理学院,长沙市410000 [2]中南大学湘雅三医院内科ICU [3]中南大学湘雅三医院妇科 [4]中南大学湘雅三医院院办 [5]中南大学湘雅三医院老年病科

出　　处：《中国护理管理》2017年第4期528-534,共7页Chinese Nursing Management

基　　金：湖南省财政厅项目[湘财教指(2014)98]

摘　　要：目的:调查初产孕妇和"二孩"孕妇压力现状及差异。方法:对591名初产孕妇和"二孩"孕妇进行问卷调查。结果:1两者压力均处于轻度水平,两者总分及各因子压力程度无统计学差异(P>0.05);2两者首要压力源均为因子二"为确保母子健康和安全而引发的压力感";"担心不能照顾好婴儿"和"担心生孩子之后自由时间会减少"分别是两者次要压力源;3初产孕妇妊娠压力影响因素为与公婆的关系,共解释总变异的34.1%;"二孩"孕妇妊娠压力影响因素为与丈夫关系和期望"二孩"性别,共解释总变异的45.7%。结论:医护人员应根据两者存在的不同压力源,为孕妇采取有针对性的减压措施。Objective： To-investigate the current status and difference of pregnancy stress between first-time and second-time pregnant women. Methods： A total of 591 pregnant women （first-time and the second-time pregnant women） were investigated with Maternal Stress Scale. Results： （1） Both stress levels were at moderate level, there was no difference in the general score and all pressure factors between both of them. （2） The first stressor of both of them was worrying about the maternal and neonatal health and safety, followed by worrying about the neonatal care and free time decrease after the labor. （3） The influence factor of stress in first-time pregnant women was relationship with parents-in-laws, accounted for 34.1%. The influence factors of stress in second-time pregnant women were relationship with husbands, gender expectation of the second baby, accounted for 45.7%. Conclusion： Both pregnant women may have different pressure sources. It is suggested to provide different relief measures for different pregnant women.

关 键 词：孕妇 妊娠压力 压力源 影响因素 

分 类 号：R47[医药卫生—护理学]