母胎依恋与孕期抑郁的关系:社会支持和压力感知的多重中介作用  

Relationship Between Maternal-Fetal Attachment and Depression During Pregnancy:Multiple Mediating Effects of Social Support and Perceived Stress

作　　者：齐娜 王丽宁 李杨 崔玉霞[1] 白凤新 姜春梅 张慧 QI Na;WANG Lining;LI Yang;CUI Yuxia;BAI Fengxin;JIANG Chunmei;ZHANG Hui(School of Nursing,Harbin Medical University,Daqing 163319,Heilongjiang Province,China;Maternity and Family Planning Office,Community Health Service Center of Liming Street,Gaoxin District,Daqing 163711,Heilongjiang Province,China)

机构地区：[1]哈尔滨医科大学护理学院,黑龙江大庆163319 [2]大庆市高新区黎明街道社区卫生服务中心妇保计生指导室,黑龙江大庆163711

出　　处：《军事护理》2022年第7期5-8,共4页MILITARY NURSING

基　　金：教育部人文社会科学研究规划基金项目(17YJAZH014)。

摘　　要：目的探讨社会支持和压力感知在母胎依恋与孕期抑郁间的多重中介作用。方法便利抽样法选取大庆市某三级甲等医院与社区卫生服务中心306名妊娠晚期孕妇为研究对象。采用一般资料问卷、母胎依恋关系量表、社会支持评定量表、压力感知量表和爱丁堡产后抑郁量表进行问卷调查。结果孕期抑郁与母胎依恋(r=-0.296)、社会支持(r=-0.320)呈负相关,与压力感知(r=0.390)呈正相关(均P<0.05);社会支持和压力感知在母胎依恋与孕期抑郁间起多重中介作用。结论母胎依恋不仅可以直接预测孕期抑郁,还可通过社会支持和压力感知的多重中介作用对孕期抑郁起间接预测作用。护理人员可以通过提高孕妇家庭社会支持、进行认知行为干预来降低孕期压力感知,从而降低孕妇孕期抑郁情绪。Objective To explore the multiple mediating effects of social support and perceived stress between maternal-fetal attachment and depression during pregnancy.Methods Convenience sampling method was used to select 306 pregnant women in their third trimester of pregnancy from a tertiary hospital and a community health service center in Daqing City.The general information questionnaire,Maternal Antenatal Attachment Scale,Social Support Rate Scale,Chinese Perceived Stress Scale,and Edinburgh Postpartum Depression Scale were used for investigation.Results Depression during pregnancy was negatively correlated with maternal-fetal attachment and social support,and positively correlated with perceived stress(r=-0.296,-0.320,and 0.390,all P<0.05).Social support and perceived stress played multiple mediating roles in the relationship between maternal-fetal attachment and depression during pregnancy.Conclusions Maternal-fetal attachment can not only directly predict depression during pregnancy,but also indirectly predict depression during pregnancy through the multiple mediating effects of social support and perceived stress.Nursing professionals should improve the family and social support of pregnant women and implement cognitive and behavioral interventions,so as to reduce their perceived stress and depression during pregnancy.

关 键 词：母胎依恋 孕期抑郁 心理健康 压力感知 多重中介 

分 类 号：R473.71[医药卫生—护理学] R828.2[医药卫生—临床医学]